Interpreting the information of SOAP

Reference no: EM13174574

Read the following fictional SOAP note written by the primary care physician.

S: Pt states that she occasionally leaks urine when she sneezes. No dysuria. Feels she has problems with nocturia. Denies constipation. One sexual partner and uses condoms. Periods regular-last period 2 weeks ago.
O: No flank tenderness bilateral. No suprapubic tenderness. VS WNL. Urine sample obtained and no gross hematuria noted. DRE and pelvic exam normal. Neuro exam WNL
A: This 40 YO female presents with asymptomatic involuntary urination that she has been experiencing for about 6 months. She did not mention it during her last visit, as she was embarrassed to discuss it. She is afebrile, no general malaise, is well nourished and has no flank or abdominal tenderness. Findings suggest stress incontinence.
P: Urine to lab for urinalysis. Patient instructed to keep diary of leakage-note time and foods and liquids consumed. Instructed in Kegel's exercises. Pt to return in 2 weeks. May discuss possible cystometry.
Instructions

Write a nonmedical interpretation of what the above SOAP note says.
What method(s) did you use to interpret the clinical information?
What were some challenges in interpreting the information?
For assistance with your assignment, please use your text, Web resources, and all course materials. Please refer to the following multimedia course
Please need original work not copy or rewrite from others networks
delivrable lenght is 1-2 paragraphs
I have also the IP who is waiting to be done.

Reference no: EM13174574

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