Episodic SOAP Note #5 – Male Scenario (NSG6020)

Name: Henry Wilson Age/DOB: 78 years old Sex: Male Race: African American Source of history and reliability: Patient and patient caregiver--reliable source of information CC: “hesitancy in starting urinary stream”, “decreased force of stream”, “post-void dribbling”, “nocturia”, “LLQ abdominal pain x2 weeks”, “doesn’t feel like bladder is empty with each urination”, “problems with constipation, last BM one week ago”