Subjective portion of SOAP Note, Patient states he took Tylenol for a headache., Patient reports "feeling dizzy" for the past two days., Mother has a history of diabetes., Blood pressure at home averages 162/98 mmHg, Patient takes Centrum Silver vitamins daily, Patient has chronic asthma, Currently insured with Blue Cross Blue Shield, Smokes 1 pack per day of cigarettes, The patient had his gallbladder removed last year, Objective portion of SOAP Note, Blood pressure measured at 150/92 mmHg, Serum Creatinine 1.9 mg/dL, Temperature 37.8C, Patient takes Lisinopril 10mg PO daily, Results from Urinalysis show cloudy sediment, Patient cardiovascular is regular and in sinus rhythm.

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