SOAP NOTE: NSG 6020 Week 6 Name: K. R. Date: 2/19/2019 Time: 9:20 a.m. Age: 25 Sex: Female SUBJECTIVE CC: “I have a bump in my left groin” HPI: This is a 25-year-old female here with complaint of painful bump in L groin area since yesterday. Denies fever, chills, sore throat, cough, or difficulty breathing. Denies chest

“I have a bump in my left groin.”

T.S is a 26-year-old female, and she presents to the clinic complaining of a lump on the left groin region since yesterday. She denies experiencing fever, chills, chest pain, difficulty in breathing, sore throat, nausea, abdominal pain, diarrhea, swelling, difficulty in urination, skin changes, rashes or lesions, insect bites, and exposure to poisons ivy and oak, and any palpitations. She also denied having shortness of breath while resting. She denied a vaginal discharge.

The patient is not on any medications.

Allergies: No known drug allergies

Chronic Illnesses/Major traumas: none

Hospitalizations/Surgeries: Tonsillectomy.

The patient was adopted.

She does not smoke.

Occasionally takes alcohol in social events

She is sexually active.

Has no children

She is a waitress.

No fever, chills, coughs, fatigue, loss of appetite, or weight loss.

Denies chest pain, palpitations, fainting/passing out, shortness of breath during exercise or sleep, peripheral edema, and breathlessness in recumbent positions.

Denied skin rash, lesions, moles, dryness, or discoloration.

Denied coughs, sputum, wheezing sounds, or history of respiratory illnesses such as tuberculosis.

Denies changes in vision, blurred vision, photophobia, irritation, or yellowing of the sclerae

Denies abdominal pain, constipation, abnormal bowel sounds and movements, ulcers, or nausea

Denies loss of hearing, pain, or discharge.

She is sexually active denies burning urination, changes in urine color, dysuria, and incontinence.

Denies sore throat, dysphagia, dental discharges, nose bleeds, sinusitis, throat hoarseness, or pain.

Denies joint and back pain, recent injuries, muscle pains, swelling, and stiffness.

N/A

Denies tremor, paralysis, ataxia, headaches, tingling in the hands or legs, or dizziness.

Denies bruising, bleeding, swelling in the extremities and lymph nodes, heat intolerance, increased hunger and thirst,

Denies depression, suicidal ideation, hallucination and memory loss, or paranoia.

T.S is a 26-year-old female patient; she is well-groomed and appears pleasant. She is, however, a little worri