Sample assignment Write Up; This is a sample of a hypothetical case; Mary Green 30 y/o. This is subjective data showing you how to use OLDCART. CC: “I have had an earache on the left side for the past 3 days” HPI: Earache began 3 days ago in the middle of the night (ONSET). Pain felt deep in left ear ( LOCATION). It has continued throughout the day and night up until presentation today (DURATION). Pain described as hot, throbbing with sharp stabbing sensation. Pain is 7/10 especially at night (CHARACTERISTICS). Denies fever though admits to chills at times. Denies nasal congestion but has had a “sinus” headache off and on. Admits to scratchy throat and occasional non-productive cough. Feels some swelling and tenderness on left side of neck, denies nausea or vomiting, appetite fair with difficulty chewing on left side of jaw (ASSOCIATED SYMPTOMS)(RADIATION). Has tried Motrin 600 mg q8h with little relief. Also has been sleeping with heating pad with some relief(TREATMENT).Mary has been trying to complete her PhD dissertation and has be under a lot of stress to meet deadlines and unable to sleep due to pain. Sig.PMHx Strep Pharyngitis 3 weeks ago treated with Zpak  at Urgent Care with full resolution. ALLERGIES: PCN hives Med: OCP’s, Motrin as above, Daily Multivit. ROS: Skin:No rashes, HEENT: no headaches or dizziness or visual disturbances,eye pain,see HPI. Resp: no wheezing, productive cough, SOB or DOE. CVS: no chest pain, palpitations. Abd: no dysphagia,pain, no diarrhea, constipation. GU; no dysuria, frequency MSK: no muscle or joint aches or limitation of motion Neuro: sleeping in short naps, high caffeine intake last 2 weeks. Psych: See HPI This is Objective data: VS: T 100 oral, P;80, R;16, BP 104/68 Appears fatigued and anxious Skin: warm, dry. faced flushed, no rashes HEENT: Head: Slight swelling on left side of jaw extending to below mandible, warm and tender to palpation. Eyes: Conjunctival clear, no discharge or drainage Ears: Rt; Non tender to palpation, Ext. Canal clear, TM pearly gray with landmarks visible. Left: Tender auricle, ext. canal erythematous and edematous without excoriations, TM bulging, tense, erythematous, landmarks not visible. Nose: Patent, no discharge, membranes moist. No sinus tenderness. Throat:  Pharynx mild erythema bilaterally, tonsils absent. Neck: Lymphadenopathy on left with tender swellings in post. and anterior chain. Limited ROM bilaterally. Lungs: Clear to both bases. CVS: RRR 100, no murmurs Abd: Bowel sounds + 4 quads, Soft, non-tender,no organomegaly. Neuro: tremor noted in both hands. This is very a simple problem based assessment.  Hope this helps. Donna B. is a 55 year old female with a new problem of "breast lump." Her last menstrual period is unknown. She is married and has 3 children. She is overweight and is "discouraged by her appearance." She is wringing her hands as you interview her. Use OLDCART and your text to organize your findings. Document the history and physical exam including a symptom analysis (OLDCART) and appropriate review of systems for the breast exam. Document subjective information: (some included above). Document objective findings in each system examined not just the breast. You do have to use your imagination in this assignment.

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper TypeÂ	Assignment
Number of Pages	1 Page(s)/275 words
Sources	0
Paper Format	APA
Spacing	Double Spaced

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