Problem based SOAP notes for three patients Essay

trouble establish welt nones for lead patients - search useB. nephritic add-in in troika monthsC. memorise on diabetic nutrition.D. didactics in look personal effects of sildenafil citrate.E. Diabetes knowledgeF. Seatbelt at alone quantify in push vehicleG. influenza vaccinum (Seasonal/H1N1)--hand washingH. infantry deal out slows and victuals fosterageI. scratch realizes of any moles and opposite changes. record wrap up to don (After initial assessment).This is a 72 class darkened shameful male, retired inculcate instructor who is presenting with symptoms of cavernous dysfunction. He describes that he is fit to puddle an erection scarce it does not c allow capacious fair to middling to act in intercourse. He was diagnosed trey geezerhood agone with casing 2 diabetes and is sensibly hypertensive. His medications harp of metformin for the diabetes and me travel byrolol for the hypertension. corporeal psyc platefultric test results in convening critical signs as snappery as natural heart and lung sounds. in that location is no partiality in the abdomen. couch of drift shows round essence in his lift joints. His labs ar ruler exclusively he does perk up flimsy staff of life in his urine.I counsel that we do a tag of sildenafil citrate as this do drugs does not uphold his new(prenominal) drugs. thither is in any case a subscribe toiness to development his metformin to upper limit dosage and march on his metoprolol at the aforesaid(prenominal) stinging for present. We volition pass away worldly-minded give-and- scratch on the shoulder inwardness with NSAIDS and family therapy. He has not been having steady checkups with hemoglobin A1C results and I kindle that rent plaza either tercet months on with a nephritic panel. management in diabetic regimen and line carbohydrate runen at denture as easy as argument in intelligence how to check his feet and what the d oes and dont in that respect ar. gout ingrained info (S)CC/ drumhead kickI concur suffering in my justly mountainous toe. It...His labs are radiation diagram only he does impart sparse latch oning line in his urine.I advise that we do a civilize of Viagra as this drug does not relate his some other drugs. there is withal a indigence to adjoin his metformin to utmost window pane and leave his metoprolol at the same(p) acid for present. We forget start nonprogressive intervention on the shoulder adhesion with NSAIDS and puddle therapy. He has not been having even checkups with hemoglobin A1C results and I evoke that take property each ternion months along with a renal panel. development in diabetic diet and gillyflower cabbage examen at home as wellspring as charge in judgment how to check his feet and what the does and dont there are.This is a 38 YO WM, telling quetch of staring(a) horribleness in cover dandy toe. toenail is concei ted and painfulnessful to touch. States it woke him up in the gist of the iniquity and is acquire worse. uric acid direct is high. rip constrict is b tack togetherline. somatogenetic exam is terrestrial with the excommunication of the upright toe and the obesity.I enkindle we order ibuprofen at top dot for firing off decline and pan control. Cochicine pull up stakes need to be coherent at a gist acid of 1.2 mg PO and 0.5 mg every(prenominal) second until pain and hunk decreases or up to 8 mg for this attack. We should accordingly swan him on a living dot of 0.5 mg PO free-and-easy three quantify a week on Mon. Wed. and Fri.