SOAP Notes for Diabetes, Stroke, and Allergies

Soap Note Twenty-two Years Old Personal History Jack (Pseudonym) is a twenty two-year-old Caucasian male. He is a business student in the university, with a single roommate within the campus. Jack has two older brothers aged twenty-six and twenty-four. He also has a younger sister aged seventeen. Jack has an athletic body and has not had any severe illnesses before. He has only suffered common colds, four times he has been diagnosed with tonsillitis, which was treated with antibiotics. Nevertheless, he complains of backaches after long periods of sitting in class or the library. He has no surgical history and no visible injuries. He has no regular medication except for sleeping pills, which he takes occasionally, and painkillers when he has backaches. Jack does not have any allergic reactions. Lifestyle History Jack is a social person and interacts with a variety of individuals in school and at home. He is active in athletics and debate club. Jack has a girlfriend, whom he spends most of his free time with. He has been smoking for the last two years and uses two to three tobacco cigarettes per day, and more on social occasions such as parties. Jack often drinks on the weekends, with an average of three beers. Jack spends a lot of time watching television and movies. He is also attached to his smartphone and spends a considerable amount of time talking on the phone. Jack is not religious and lacks any political orientations that influence his lifestyle. He eats at the school café and takes three meals a day, which is often balanced. Family History Jack’s mother has been diagnosed with diab...