Comprehensive SOAP Case Study: Acute
Bacterial Conjunctivitis in an Outpatient
Clinic with Laboratory Capabilities –
Class 6512 Exam Submission
,Patient Information:
Name: [Patient Name]
Age: 28 years
Gender: Male
Date: 20/12/2025
Clinic: Outpatient Clinic with Laboratory Capabilities
S – Subjective
Chief Complaint (CC): “My left eye is red, itchy, and has discharge for 3 days.”
History of Present Illness (HPI):
Onset: 3 days ago
Location: Left eye
Duration: Continuous
Characteristics: Redness, watery discharge, mild pain, foreign body sensation
Aggravating factors: Touching the eye, exposure to dust
, Relieving factors: Artificial tears provide temporary relief
Associated symptoms: Mild photophobia, slight eyelid swelling
Prior episodes: Denies previous eye infections
Medications: Over-the-counter artificial tears
Allergies: NKDA
Past Medical History (PMH): No chronic illnesses
Surgical History (SH): None
Family History (FH): No ocular diseases
Social History (SH): Non-smoker, occasional alcohol, works in an office environment
O – Objective
Vital Signs:
BP: 118/76 mmHg
HR: 78 bpm
RR: 16/min
Bacterial Conjunctivitis in an Outpatient
Clinic with Laboratory Capabilities –
Class 6512 Exam Submission
,Patient Information:
Name: [Patient Name]
Age: 28 years
Gender: Male
Date: 20/12/2025
Clinic: Outpatient Clinic with Laboratory Capabilities
S – Subjective
Chief Complaint (CC): “My left eye is red, itchy, and has discharge for 3 days.”
History of Present Illness (HPI):
Onset: 3 days ago
Location: Left eye
Duration: Continuous
Characteristics: Redness, watery discharge, mild pain, foreign body sensation
Aggravating factors: Touching the eye, exposure to dust
, Relieving factors: Artificial tears provide temporary relief
Associated symptoms: Mild photophobia, slight eyelid swelling
Prior episodes: Denies previous eye infections
Medications: Over-the-counter artificial tears
Allergies: NKDA
Past Medical History (PMH): No chronic illnesses
Surgical History (SH): None
Family History (FH): No ocular diseases
Social History (SH): Non-smoker, occasional alcohol, works in an office environment
O – Objective
Vital Signs:
BP: 118/76 mmHg
HR: 78 bpm
RR: 16/min
