Define a history and physical examination

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Using course materials, textbooks, and the SOAP Note Format document provided in the Course Resources area of the course, choose a friend, colleague, or family member and perform a complete history on your "patient" that presents for a history and physical examination. This is the kind of history you might obtain from a new patient, or during an annual well-visit exam. You should devise a chief complaint so that you may document the OLDCART (HPI) data. You must use the chief complaint of fatigue, fever, and muscles aches.

You should include a complete ROS and all the other components of a complete patient history. This week you will only need to document thesubjective portion of the SOAP note (not objective). Document your findings in a systematic manner and identify some of the key components of the history that may tip you off to primary care interventions that this patient may require.

Reference no: EM131655722

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