Abnormal findings in patients seen in a clinical setting.

You will ANALYZE (DETAILED) a SOAP note case study that describes abnormal findings in patients seen in a clinical setting.
Please DO NOT re-copy the SOAP note over again or summarize it. You must
explain the note by using evidence-based sources.
You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Everything written needs to be detailed and explained. Please write this in Narrative and not SOAP note form.

Your narrative should address:
Consider what additional history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least 3 possible conditions that may be considered in a differential diagnosis for the patient.
Your SOAP note should have detailed:

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
3. Is the assessment supported by the subjective and objective information? Why or Why not?
4. What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?
5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence-based literature.

Sample Solution