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Genitourinary SOAP

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Genitourinary SOAP

Category: Critical Thinking

Subcategory: Nursing

Level: Masters

Pages: 4

Words: 1100

Clinical SOAP Note: Acute Glomerulonephritis
Student’s Name:
Institutional Affiliation:

Clinical SOAP Note: Acute Glomerulonephritis
Mr. Dimples is a 48-year-old man residing in. He is self-referred to the institution and appears to be a reliable source for his history.
Subjective Component
Chief Complaint: ‘There is blood in my urine.’
History of presenting complaint:
Mr. Dimples first noticed blood in his urine two days ago. It was painless and continuous. He dismissed it and continued with his activities. His urine did not contain any blood the next three times he micturated. He noticed blood again the next day – which still was painless and continuous. He has never had a similar episode in his life. There was no identifiable aggravating or relieving factor. There was no oliguria, frequency, urgency, dysuria, any flank pain, nocturia, urinary incontinence, hesitancy, terminal dribbling, or urethral discharge.
Medical History:
As a child, Mr. Dimples was admitted for measles at the age of 6; chickenpox at age 10; malaria at age 12; and mumps at 13. He has no history of scarlet fever or rheumatic. As an adult, he has been admitted for food poisoning at age 30 due to consumption of stale rice. He was diagnosed with interstitial nephritis at age 35 after taking high-dose ampicillin to ward off a throat infection. The condition was treated successfully.
Surgical History:
Sutures for a laceration accrued by stepping on a rock while playing at age …

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