List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Focused Nose Exam: Case #1

A 28 year old female comes in complaining of a runny nose and itchy eyes. States runny nose, itchy eyes, and ears felt full approximately 9 days ago. “I get this every spring and it seems to last six to eight weeks”. Describes nose is runny with clear mucus. Sneezes on and off all day. Eyes itch so bad she just wants to scratch them out, sometimes feels a tickle in her throat and ears feel full and sometimes pop. Last year took Claritin with relief. Charlotte is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow, but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.  List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

For this assignment there will be information that you will need to make up to complete the entire soap note. Please use the soap note exemplar example as a guide. I think it is important to document a detailed HEENT exam and HEENT ROS for this assignment. It is also important to document a heart and lung exam on each patient. For the Subjective Data (document constitutional/general ROS) on all patients as well and Psych. Please use your clinical guide to documentation textbook as a guide as needed for documentation purposes.

attached template sample and empty template to fill. follow instructions, and comply with references

using formal APA writing convention, using the 7th Edition

Plagiarism free work…. Thank you