Develop a SOAP note remember to include the differential Diagnoses and Diagnostics.

Discussion 1
Discussion Question: An 18-year-old female presents to the office complaining of dysuria, and lower abdominal cramping.  She has no PMH, no allergies and No Primary Care Provider.  LMP 2 months ago. PE reveals suprapubic tenderness on abdominal palpation. Denies flank tenderness on palpation. Develop a SOAP note remember to include the differential Diagnoses and Diagnostics.  Then critique the Soap note of the two people who posted before you. (Please try to limit it to two critiques per student if possible.) You must use clinical practice guidelines in your post.  Your critique should identify at least one positive and one area for future growth.

The Nursing Syllabus Standards & University Policies document in the Course Documents section of the course for the Discussion Guidelines & Rubric.

 

Lab interpretation: The urine dip reveals
Urine Dip

COMPONENT

RESULT

REFERENCE RANGE

Dipstick urinalysis

Color

Dark yellow

—

Clarity

Turbid

—

pH

7.0

—

Specific gravity

1.010

—

Glucose

Negative

Negative

Blood

Negative

Negative

Ketones

Negative

Negative

Protein

Negative

Negative

Urobilinogen

Negative

Negative

Bilirubin

Negative

Negative

Leukocyte esterase

Positive

Negative

Nitrite

Positive

Negative