SCENARIO: A 52-year-old woman complains that she has been missing days of work a
SCENARIO: A 52-year-old woman complains that she has been missing days of work almost every week, she states she is neglecting her family, and she is sleeping during the day but cannot sleep at night. She denies other health problems, medication, or environmental allergies.
PLEASE REVIEW POSITIVE & NEGATIVE INFORMATION, DIFFERENTIAL & WORKING DIAGNOSIS. Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
-Pertinent positive and negative information
-Differential and working diagnosis
-Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.