In which section of SOAP would you find findings from a physical examination?

The section of SOAP where findings from a physical examination are documented is the Objective section. This part of the SOAP note is dedicated to measurable and observable facts regarding the patient's health status. It includes data gathered from physical exams, laboratory results, and any diagnostic imaging.

In contrast, the Subjective section contains information reported by the client, such as the pet’s behavior, perceived pain levels, or any changes observed at home. The Assessment section synthesizes the subjective and objective data to evaluate the patient's condition, providing a professional judgment of the situation. Lastly, the Plan section outlines the intended medical interventions, treatments, and follow-up strategies based on the assessment.

Understanding the structure of SOAP notes is essential in veterinary practice, as it ensures clear and thorough documentation of patient evaluations and care, which is critical for effective communication within a veterinary team.