Description Soap Note: Arthritis Rheumatoid Remember the soap notes put through TURN-It-In (anti-Plagiarism program You can use the format attached, please be careful that the chief compliant was relationship with de diagnosis. It’s important chief complaint, history of present illness, diagnosis and differential diagnosis and treatment. (Use guideline) A little explanation of why think primary diagnosis is correct, short few sentences is fine Use at least two references within 3 years, this need on APA format. (textbook, journal) on diagnosis and treatment (see attachment) Put ICD 10 CODES AND (CPT if correspond) for diagnosis and differential diagnosis Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things The patient will be adult, more than 23 years old, whites, Hispanic or African American. The patient is seen at the office by primary care physician
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