Subjective: Patient is reporting fever, sore throat, cough, headache, and shivering. Objective: Temperature is 101 degrees. Assessment: Patient has a fever and other symptoms. Plan: Prescribe medicines two times a day for 3 days and get some rest. Subjective: Ms. Rogers is a 56-year-old woman who has been having chest pains for the last week. She has no history of heart problems, but does have a family history of premature CAD. She was diagnosed with hypertension 3 years ago and had a total abdominal hysterectomy and bilateral oophorectomy for uterine fibroids in 1994. She does not smoke nor does she have diabetes. She occasionally takes OTC ibuprofen for headaches. Objective: On physical examination, her vital signs are normal, and her lungs are clear to auscultation and percussion bilaterally, except for crackles heard in the lung bases bilaterally. A grade 2/6 systolic decrescendo murmur is heard best at the second right inter-costal space which radiates to the neck. Assessment: Chest pain of an acute onset, dull and aching in character, located in the left para-sternal area and radiating up to her neck. Plan: Prescribe HMG Co-reductases to lower cholesterol, diuretics to treat dyspnea and high blood pressure, and possibly other medications depending on the results of the cardiac catheterization Subjective: Mrs. Jones reports that Julia is "doing okay" and is engaging with other children in her class, but is struggling to get to sleep and has some depressive symptomatology. Objective: Julia is a 56 year old pediatric patient. Assessment: Julia is struggling to get to sleep and has some depressive symptomatology. Plan: Meet with Julia and Mrs. Jones next week to review treatment and to continue to meet with Julia. Subjective: Tom Smith is feeling fever, sore throat, cough, headache, and shivering. Objective: Temperature is 101 degrees. Assessment: Fever is present. Plan: Prescribe medicines two times a day for 3 days and get some rest. General: Subjective John reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm. Objective John appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic. Assessment John appears to be suffering from major depressive disorder. His symptoms are severe and interfere with his day-to-day functioning. Plan 1. Meet with John again in 2 days, Friday, 20th May 2. John to follow his safety plan if required 3. John to make his family aware of his current state of mind 4. Refer John to a mental health professional for further assessment and treatment. General: Subjective Tom reports that he has been feeling down and has been struggling to concentrate. He states that he has been feeling fatigued and has been having difficulty sleeping. He reports that he has been feeling hopeless and has been having thoughts of self-harm. Objective Tom appears to be in a depressed mood. His speech is slow and his body posture is slumped. He has poor eye contact and his attitude is apathetic. Assessment Tom appears to be suffering from major depressive disorder. His symptoms are severe and are interfering with his day-to-day functioning. Plan 1. Meet with Tom again in 2 days, Friday, 20th May 2. Tom to follow his safety plan if required 3. Tom to make his family aware of his current state of mind 4. Refer Tom to a mental health professional for further assessment and treatment.