Shadow Health Shoshanna Tillman Musculoskeletal SOAP Note | 95%+ DCE Score

Q: Who Am I Buying These Study Materials From?

Passing Grades is a marketplace. You are purchasing from an individual vendor while we facilitate payment and delivery.

Q: Does Passing Grades Offer Free Study Materials?

Yes, sellers on Passing Grades have uploaded free materials available at no cost.

Add To Favorites

Share this item

Shoshanna Tillman Follow-Up Musculoskeletal: PIP Tenderness & Fatigue Assessment [Level 3] SOAP Note Patient: Shoshanna Tillman SUBJECTIVE CC: "I'm here to follow up on my last visit about my joint pain and how tired I am." HPI: Shoshanna Tillman is a 39-year-old female who presents to the clinic complaining of fatigue and joint pain. The joint pain is constant and started 3 months ago. The pain is mostly in her hands and wrists. The patient also complains of generalized pain. Pain is worse in the morning. The patient complains of dull, throbbing, and stiff pain in the wrists and hands. The full body pain is described as stiff and achy. The patient states her current pain is 2 out of 10. Mrs.Tillman says that hot showers and Diclofenac helps decrease the joint pain. If she uses her hands for a long period of time, there is an increase in joint pain. The patient also states that sitting too long also irritates her joint pain. Prior to Diclofenac, the pain is rated as a 3 or 4 out of 10. The fatigue is constant and started 3 months ago. There are no aggravating or relieving factors for the fatigue. The fatigue gets worse as the day goes on. The patient also complains of being intermittently feverish, decrease appetite, and weight loss for the past month. Patient can complete her activities of daily living without pain, but states that she feels "drained" after and it takes longer than usual. PMH: Denies medical history. Denies mental health conditions. Denies environmental hazards. Denies recent travel. Past Surgical History: Denies surgical history. The patient has only been hospitalized for her three deliveries. Medications: Diclofenac sodium 50 mg Q12H PRN pain Ibuprofen 400 mg Q8H PRN pain (discontinued) IUD levonorgestrel, last replaced 24 months ago Allergies: Codeine allergy (rash, itching) Denies allergies to environment, pets, food, medications, or latex. Immunizations: Up to date, including influenza Family History: Mother (67) living with no known or reported medical issues. Father (68) living with no known or reported medical issues. Brother (34) living with no known or reported medical issues. Social History: Denies tobacco use, denies illicit drug use. Patient reports social alcohol use, 1-2 times a week with no more than 2 drinks in one sitting.

Contact the Seller

Please Sign In to contact this seller.

👎 Report Copyright Violation

Frequently Asked Questions

What Do I Get When I Buy This Study Material?

When you buy a study material on Passing Grades, an instant download link will be sent directly to your email, giving you access to the file anytime after payment is completed.

Is Passing Grades a Trusted Platform?

Yes, Passing Grades is a reputable students’ marketplace with a secure payment system and reliable customer support. You can trust us to ensure a safe and seamless transaction experience.

Will I Be Stuck with a Subscription?

No, all purchases on Passing Grades are one-time transactions. You only pay for the notes you choose to buy, with no subscriptions or hidden fees attached.

Who Am I Buying These Study Materials From?

Passing Grades is a marketplace, which means you are purchasing the document from an individual vendor, not directly from us. We facilitate the payment and delivery process between you and the vendor.

Does Passing Grades Offer Free Study Materials?

Yes, sellers on Passing Grades have uploaded numerous free test banks, exams, practice questions, and class notes that can be downloaded at no cost.