Work with this pediatric SOAP note to document the child patient’s condition. Pediatricians can use this template to conduct the documentation of the child’s medical data. Provide proper diagnoses and present good therapy plans using this template.
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History of Present Illness (location, quality, severity, timing, setting, alleviating/ aggravating factors, associated signs and symptoms):
Past Medical History (allergies, current medication, injuries, hospitalizations, surgeries):
Family medical history:
Social medical history:
Review of Systems:
Objective Data
Height (in):
Weight (lbs):
BMI:
General appearance:
Body temperature:
Eyes, Ears, Nose, Throat:
Blood pressure (BP):
Cardiovascular:
Respiratory:
Integument/ Lymphatic Inspection:
Laboratory Results:
Assessment
General Observations:
Differential Diagnosis:
Plan
Treatment/Therapy Plan:
Completion
Name and Signature of Pediatrician:
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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