SOAP note - Lt. hemiplegia
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작성일 19-05-12 18:16
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레포트/의약보건
SOAP note - Lt. hemiplegia
순서
SOAP,note,Lt,hemiplegia,의약보건,레포트
SOAP NOTE
`Subjective`
Name
박OO
Sex
F
Age
만 78세
Chief complaints
Lt. hemiplegia
Dominant hand
Right hand
Impression
Spastic hemiplegia, Left nondominant side
Vascular dementia, unspecified
Hx.
-1990s ; HTN으로 local에서 po medi
-1993. Lt. side Cb infarction
-2002. L-HIVD on L4/5로 op ab local
-2012-1-22 : 아산 병원에서 OP
-vascular Dementia 진단 받으심
재활치료 지속 안하면 인지 및 근력 및 기능이 떨어짐
`Objective`
Ⅰ. Physical status
1. General status
Right
Left
shoulder
G1
G1+
elbow
G1
SOAP NOTE
`Subjective`
Name
박OO
Sex
F
Age
만 78세
Chief complaints
Lt. hemiplegia
Dominant hand
Right hand
Impression
Spastic hemiplegia, Left nondominant side
Vascular dementia, unspecified
Hx.
-1990s ; HTN으로 local에서 po medi
-1993. Lt. side Cb infarction
-2002. L-HIVD on L4/5로 op ab local
-2012-1-22 : 아산 병원에서 OP
-vascul…(To be continued )
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SOAP note - Lt. hemiplegia , SOAP note - Lt. hemiplegia의약보건레포트 , SOAP note Lt hemiplegia
SOAP note - Lt. hemiplegia
다.
