Reason Visit Female Explained for Students (Easy Guide)
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Original Question
REASON FOR VISIT: 23 yo female here for her annual GYN physical. Elizabeth is a 23-year-old college student. She is sexually active with a boyfriend of one year. They are engaging in intercourse and she tells me he is using a condom. She lives with a female roommate near the college campus. She had menarche at age 11 and has “mostly” regular periods every 27 days, lasting 6 days on average. Cramping and bleeding she describes as “average.” She has not received the HPV vaccine. MEDICATIONS: None. ALLERGIES: None. SOCIAL HISTORY: She is a nonsmoker. Does not drink ETOH or use recreational drugs. She is a senior in college and works part-time at a law firm. Describes having a few close friends and spending most of her extra time with her boyfriend who is the same age and attends the same college. PAST MEDICAL HISTORY: She has had no surgery or chronic illnesses. FAMILY HISTORY: Mother has depression (untreated according to Elizabeth). Father has had renal cysts and sometimes some stomach problems. Both of her parents smoke in their homes. REVIEW OF SYSTEMS: Patient denies headache or trauma. No blurred or double vision. Hearing is fine, no tinnitus or infection. Infrequent sore throat, no hoarseness or cough. HEENT: See HPI. Neck: No stiffness, pain or swelling. Respiratory: No shortness of breath, cough, or hemoptysis. She is a nonsmoker. Cardiovascular: No chest pain, ankle edema, palpitations, or hypertension. GI: No nausea, vomiting, diarrhea, constipation, melen
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