Down Syndrome SOAP

목차

1. 주관적 관찰(S)
2. 객관적 관찰(O)
3. 평가(A)
4. 치료계획(P)

본문내용

주관적 관찰(S)
○ diagnosis : down syndrome dyspnea
○ Past History : down syndrome
-duodenal atresia
2014. 2. 27 pull though resection of rectum LATEPC(laparoscopic assisted transanal endorectal pull – though)
-hirschsprung disease
2014. 1. 7 duodenoenterostomy, laparoscopic
-large VSD .small secundum ASD, BICUSPID AV r/o parachute MV
2014. 2. 3 PA banding dyspenea
-r/o GERD
r/o subglotic stenosis
r/o acute bronchialitis, less likely
severe metabolic acidosis
r/o related to goat milk
왼쪽 청력은 반응이 느림

참고 자료

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