Write a comprehensive SOAP note using the example found in the ‘Assessment Dropbox and Rubrics’ block on Loop.c

John is a 42-year-old Caucasian male. He is employed as a stockbroker and works 60-70 hours a week. Frequently his job requires that he be out of town on short business trips. John presents with complaints of a midsternal burning sensation. His discomfort is often worst at night and he frequently wakes with a bad taste in his mouth. He has experienced no weight loss or change in appetite.

 

After completing a history and physical exam, the practitioner identifies potential diagnoses of cardiac chest pain, GERD, gastric or duodenal ulcer.

 

Final diagnosis: GERD

 

Write a comprehensive SOAP note using the example found in the ‘Assessment Dropbox and Rubrics’ block on Loop.c

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