OBGYN Soap Note 4

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Hello follow instruction please can you use these ICD-10 Codes to make up 10 Soap notes with each of them for OBGYN patients coming up for checkup at the clinic please. Below is a sample on how to do the soap notes. Use different age and information for each soap notes

This is the sample :

N39.0 | Urinary tract infection, site not specified

Patient is a 20 year old female, present o the clinic complaining of back pain, burning on urination and frequency which started 6 days ago. Patient not on medication at this time, no past medical or surgical history, G1P1, no past history of STD’s. LMP was 08/01/18, regular last 3-4 days, currently sexually active. NKA Pan: vital signs WNL, U/A collected and will be send to the lab, all systems assessed and WNL, next appointment in 1 week for lab result, Nitrofurantoin 100 mg, 1 cap by mouth Q12 hours X 7 days, teaching provided on douching, hygiene after sexual activity and urology consult if symptoms persist.

N64.52 | Nipple discharge

N64.53 | Retraction of nipple

N64.59 | Other signs and symptoms in breast

N64.81 | Ptosis of breast

N64.82 | Hypoplasia of breast

N64.89 | Other specified disorders of breast

N64.9 | Disorder of breast, unspecified

N39.0 | Urinary tract infection, site not specified

N39.3 | Stress incontinence (female)

N39.41 | Urge incontinence

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