General medicine · SOAP
Primary care: sore throat
Rough notes
29F sore throat x2 days, fever at home 38.4, no cough. Tonsils enlarged w/ exudate, tender anterior nodes. Temp 38.1 in clinic. Rapid strep +, dx strep pharyngitis. Plan: amoxicillin 500 mg BID x10d, fluids, return if worse or no better in 48h.
- Subjective
- 29F reports sore throat x2 days and fever at home of 38.4. No cough.
- Objective
- Temp 38.1 in clinic. Tonsils enlarged with exudate. Tender anterior nodes. Rapid strep positive.
- Assessment
- Strep pharyngitis.
- Plan
- Amoxicillin 500 mg BID x10d. Fluids. Return if worse or no better in 48h.