Differential Diagnosis For Cherry Angioma Wendy Coolman Walden University

Differential Diagnosis For Cherry Angioma Wendy Coolman Walden University

Wendy Coolman Walden University Skin Condition SOAP Note June 23, 2019

Skin Condition SOAP Note

Chief Complaint (CC): Patient c/o rash #2 to abdomen and chest.
History of Present Illness (HPI): CR is a 43-year-old male who presents with multiple small round irregular red/purple papules present on the anterior chest and abdomen that started approximately two months ago with a gradual onset. Patient denies associated symptoms, denies aggravating and alleviating factors. Papules have
been increasing over past two months. Patient rates pain as 0/10, denies itching, and has not tried any treatments.
Medications:
Cetirizine 10mg PO daily Acetaminophen 650mg PO every 6 hours as needed for mild-moderate pain, Motrin 600mg PO every 6 hours as needed for mild-moderate pain, Fiber gummy supplement 2 chews daily.
Senna tablet PO daily
Colace 100mg PO daily
Allergies: No known drug allergies
Past Medical History (PMH):
Constipation, controlled with medications and fiber supplements Seasonal allergies, controlled with Cetirizine
Chicken Pox age 6, resolved. Past Surgical History (PSH): Appendectomy, age 6
Personal/Social History: Include tobacco use, alcohol use, drug use, patient’s interests,
ADL’s and IADL’s if applicable, and exercise and eating habits.
No tobacco products, never smoker.
5 glasses of wine weekly
No illicit drug usage
Sexually active with female partner, monogamous

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