Subjective
SOAP Note Assignment #2
The patient presents with [occurring over a long period of time] symptoms which
include [chest pain at rest] and increased chest pain with exertion, the patient
describes pain as feeling [away from the surface] in their chest and not [on the
surface], family history shows that the patient's parents both had heart disease but
no history of [heart attack]
Objective
Blood pressure was measured at 135/90 using an automatic [instrument to measure
blood pressure], a [record of the electrical activity of the heart] was performed with
a stress test and showed ST segment depression
Assessment
[Disease of the arteries surrounding the heart] caused by [deposition of fatty
compounds on the inner lining of the arteries]
Plan
Refer to a [heart doctor] for further evaluation