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emr:soap
**This is an old revision of the document!**
Assessment / Plan
65M with history of x, initially admitted for X, now with x.
| Acute hypoxemic respiratory failure |
| Septic shock from GNR bacteremia |
| Acute kidney injury, grade 2 |
Recommendations
- XX
- xxx
Billing Details
Subjective
- overnight, no acute events
- reports no specific concerns
Full ROS performed. Negative except as mentioned above.
Objective Vitals Tmax x
Exam RRR.CTAB
Labs & Imaging
All labs and imaging within past 24 hr personally reviewed by me.
emr/soap.1698675087.txt.gz · Last modified: 2023/10/30 14:11 by admin
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