HEENT Soap Note RN, BSN United States University MSN 572- Advanced Health and Physical Assessment Across the Lifespan

HEENT Soap Note RN, BSN United States University MSN 572- Advanced Health and Physical Assessment Across the Lifespan Dr. O May 31, 2021 2 SUBJECTIVE: ID: B.G. 33-year-old Hispanic male DOB 6/11/1988. He came to the clinic due to a spontaneous sore throat. He is a reliable source of information CC: “I have a sore throat for three days. “ HISTORY OF PRESENT ILLNESS (HPI): B.G is a 33-year-old male who came to the primary care establishment and having a sore throat. His throat has been sore for three days with no changes in appetite, and he denies difficulty swallowing. He denies fever, chills, and night sweats within the last three days. He has not left the country within the last three months. he denies being around anyone who has been sick within the last ten days. PAST MEDICAL HISTORY –Denies past medical i