The health history cancer in remission and hypothyroidism. The paternal grandfather is alive with prostate cancer.
Must be in soap note format, that is Case Study 1 Charlene Baja is a 22-year-old G0 P0 L0 presents to the clinic today for burning and discharge for 1 week.
She states her boyfriend recently found out he was positive for chlamydia. She denies any other partners besides him. is social history includes social drugs. oral contraception.
Her health history cancer in remission and hypothyroidism. Her paternal grandfather is alive with prostate cancer.
Her sister has type 1 diabetes as well. Her father has HTN, diabetes type 2, and hyperlipidemia. · Height 5’ 5” · HEENT: · Neck: lymph nodes grossly normal ·
Lungs/CV: Chest is clear to auscultation bilaterally, normal respiration, rhythm, and depth upon exam · Breast: normal breast exam · Abd: WNL · VVBSU: WNL · Cervix: firm, smooth, yellow watery discharge in large amount present · Uterus: RV, mobile, · Adnexa: WNL
