SOAP needed w/ 3 three differential diagnoses

SOAP needed w/ 3 three differential diagnoses and resources INFO 37 y/o AAF comes to the office for a routine three-month follow-up. reporting increasing lower back pain for the past few weeks and a nodule on the right wrist (noticed 3 days ago) O more intense for the last couple of weeks L across lower back and buttocks radiating to right lower leg D constantly C stabbing A Walking or sitting too long R taking tizandine or lying down in bed on side (can not sleep on back) T everyday and while sleeping pain in lower back ROS unremarkable EXCEPT- pain in right wrist and lower back radiating to right lower leg PHysical exam: VITALs BP 112/66, hr 84, resp 18. temp 96.7, weight 269, pulse ox 98%, BMI 47.65 OBESE Anxious right wrist nodule at the base of the thumb palm side about 1cm (ganglion cyst) back pain is elicited when the patient stands up and tries to bend over other areas unremarkable PMH hypothyroidism, anxiety, irritable bowel syndrome, obesity, HTN Surgeries Appendectomy -2016, tubal ligation 2015, thyroidectomy 2012 Social history married with 5 children and works as a medical assistant NO smoking, alcohol drinking socially 4 times a year Paternal granddad (died heart attack) Paternal grandmother (died diabetes complications) Mother (alive HTN) father (alive diabetes) Maternal grandad) (died unknown cause) Maternal grandmother (alive HTN hyperlipidemia) Current medications Tizanidine 4 mg PO qh (lower back pain) Buspirone 5 mg PO BID (anxiety) Metoprolol 25 mg PO QD (HTN) HCTZ 25 mg PO QD (HTN) Linzess 290 mcg PO QD (IBS) Tylenol OTC as needed pain Levothyroxine 125 mcg PO QD (HYPOthyroidism) SCIENCE

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."