Advanced Health Assessment Week 8 Focus-Episodic Soap Note Musculoskeletal Case Study 1

ADVANCED HEALTH ASSESSMENT Week 8 Focus-Episodic SOAP Note Musculoskeletal Case Study 1 SUBJECTIVE DATA Chief Complaint: I have been having pain in my lower back for a month now. Sometimes it feels like a sharp pain shooting down the back of my leg and other times I feel like it is numb and tingling. I never had this pain until after doing yard work all day. History of Present Illness (HPI): Mr. John Doe is a 42-year-old Caucasian male that presents to the clinic today with complaints of low back pain with intermittent periods of sharp, shooting pains down the posterior left leg and periods of numbness and tingling that began one month ago. He rates his pain as a 7 on a pain scale of 1-10. He reports that his pain seems to be worse if he sits down too long or twist his back. Reports pain if relieved when he stands up and walks around and pain is also alleviated if he lays flat on his back with a pillow under his knees. Medications: One a Day Mens Health Multivitamin PO daily Allergies: Denies drug, food, environmental, or latex allergies. Past Medical History (PMH):No medical conditions Past Surgical