The document describes a SOAP note for a female patient seen by a nurse practitioner for a common endocrine or musculoskeletal condition. In the subjective section, details about the patient's medical history are provided. The objective section outlines observations from the physical assessment. In the assessment section, the nurse practitioner lists differential diagnoses from highest to lowest priority and identifies the primary diagnosis and rationale. The plan section describes diagnostics, treatment including pharmacologic and nonpharmacologic options, follow-up, and rationale. Reflection notes discuss what could be improved and how the case relates to class readings.