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Lucy Smith is a 24-year-old Caucasian female established patient who presents to the clinic for her annual wellness visit. She has a PMH of migraines and anxiety. She denies any changes in her health. She is a graduate engineering student who works part-time as a barista on the weekends. She admits to drinking a couple of glasses of wine on the weekends to wind down from the week. Denies smoking or illicit drug use. VS-B/P122/84. HR 76, Resp 16, Temp 98.6, O2Sats 99% on RA. She denies any pain. Current Medications: Propanolol 40 mg daily Maxalt 5mg as a single dose and may take another dose 2 hours after the first dose. Do not take more than 2 doses in a 24-hour period. Lo Loestrin Fe QD Identify the elements of subjective data based on the above scenario. Write an SOA Note using the above scenario. If information needs to be included, please indicate what you would ask or would do. For example- List/label the CC, HPI, PMH, etc. P- What would you include in your plan? Always disposition your patient and include patient teaching. Use at least two scholarly resources.
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