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Name: Maria Rodriguez
DOB: 10/07/1976
Patient Type: Compliance Packaging , Care Facility Patient

SOAP / Intervention

SOAP

Date

SOAP ID

Pharmacist

Pharm

Status

Subjective

Patient is a 25 year old healthy single store manager complaining of right facial pain. She felt well until about three weeks ago when her allergies started acting up.

Objective

Temperature 38 F ,B/P 120/68, HR 76, RR 16, Weight 129, BMI 26, General: Fatigued appearing young woman, HEENT: Face: Right maxillary tenderness. No sinus transillumination on the right side.

Plan

Treat with amoxicillin 500 mg three times a day and a decongestant as needed for one week. Follow up if symptoms have not improved. Fluticasone nose spray for allergy symptoms when needed.

Notes

Follow up if symptoms have not improved.

Intervention

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Name Name	Date of Birth Date of Birth	Address Address	City City	State State	ZIP ZIP	Phone Phone	Status Status
Annie Wiedman	10/07/1978	88 Center Rd	Bedford	OH	44146	715-361-4850	Active
Maria Rodriguez	12/03/1976	2349 Spinnaker Lane	Joliet	LA	60432	724-376-4350	Active
Scott Adams	08/19/1979	1919 County Line Road	Tampa	FL	33634	727-729-9038	Active
Smith James	04/11/1978	1566 Elm Drive	Cambridge	NY	12816	532-247-7219	Active
Teresa Andresen	11/28/1987	1227 Perine Street	Alexandria	VA	22304	703-823-4297	Active