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During your clinical hours, one of your patients is Raye Smith, a 26-year-old Black woman,
During your clinical hours, one of your patients is Raye Smith, a 26-year-old Black woman, who has come in with a bad headache. Where do you place the following information in her SOAP note? Eye exam 2 years ago No cold/sinus symptoms No fever, no changes in vision No hospitalizations No medications, NKDA No tobacco use, wine once monthly, no recreational drug use Pain is a 4 on a scale of 1 to 10 Presents with c/o headache Scoliosis corrected with Charleston brace, broken toe Single, lives alone Sports-induced asthma Throbbing for past 2 hours, can feel pulse in temple Traveled to UK, Caribbean in past 3 months
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