SOAP Clinical Encounter Note
Dr. Sarah Jenkins, MDPatient presents with 3-day history of persistent sore throat and mild fatigue. Denies fever or shortness of breath.
Oropharynx erythematous, no exudates. Bilateral cervical lymph nodes palpable, non-tender. Lungs clear to auscultation.
Acute pharyngitis (ICD-10 J02.9). Rapid Strep swab performed in office - Negative.
Supportive care with warm saline gargles & OTC analgesics. eRx Amoxicillin suspended pending throat culture.


