Soap note about gallbladder, included a real case, an example how to do the Soap note, please use always APA style, more than 3 references minimum 5 years ago.
this patient uses 3 types of medications: (be creative and search in google dosage, administration PO, frequency, example: Metformin 500 mg once a day with meals for Diabetes mellitus type 2.
Cardiology – Other Antihypertensives
Endocrinology – Oral glucose lowering agents
Miscellaneous – Not covered elsewhere
This patient has a schedule for surgery of gallbladder, but had a history of gallbladder problems, in the history you can search signs and symptoms of gallbladder stones such as:
Pain areas: in the back or upper-right abdomen
Pain types: can be severe
Gastrointestinal: indigestion, nausea, or vomiting
Abdominal: cramping from gallstones or discomfort