1 / 7

S.O.A.P.

Global Medical Training at UCLA TJ & Poorva. S.O.A.P. S.O.A.P. S UBJECTIVE O BJECTIVE A SSESSMENT P LAN. S UBJECTIVE: PATIENT INFO. First, introduce yourself! Obtain basic info Past medical history (PMH) Social life Chief complaint (secondary complaint) Vitals (objective)

cora-vinson
Download Presentation

S.O.A.P.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Global Medical Training at UCLA TJ & Poorva S.O.A.P.

  2. S.O.A.P. • SUBJECTIVE • OBJECTIVE • ASSESSMENT • PLAN

  3. SUBJECTIVE: PATIENT INFO • First, introduce yourself! • Obtain basic info • Past medical history (PMH) • Social life • Chief complaint (secondary complaint) • Vitals (objective) • Temperature • Pulse Rate • Blood Pressure

  4. SUBJECTIVE: PRESENT ILLNESS • History of present illness (HPI): • Onset • Location • Duration • Characteristics • Aggravating factors • Relieving factors • Severity

  5. SUBJECTIVE: Checklist of systems • Cont • Visual • Ears, Nose, Throat • Cardiology • Pulmonary • Gastrointestinal (GI) • Endocrine • Muscular • Dermatology • Neurology • Hematology • Psychology

  6. OBJECTIVE: PHYSICAL EXAM • Inspection/Observation • General, eyes, ears/nose/throat (ENT), cardiovascular (CV), respiratory, gastrointestinal, muscular, skin, neurology, psychology • Auscultation • Palpation • Percussion

  7. ASSESSMENT/PLAN • Discussion of case • Assessment • Preliminary diagnosis presented to attending physicians • Plan/Treatment • Prescribe medication • PREVENTATIVE ADVICE! • Rx • Doctor’s prescription

More Related