History and Physical Examination PATIENT NAME: Butler, Jennifer PHYSICIAN: Peter Albion, MD DATE OF ADMISSION: 04/26/20XX REASON FOR ADMISSION: Vaginal bleeding HISTORY OF PRESENT ILLNESS: This is a 62-year-old white female Gravida IV, Para IV. She states that she has been in good health and has not had any gynecological complaints. During the past year she has had some left lower-quadrant pain and is noted post-coital bleeding. The bleeding has also occurred on and off for several months. PAST MEDICAL HISTORY: Hyperthyroidism due to thyroidectomy many years ago for benign tumor. No other serious illnesses, operations, or hospitalizations. ALLERGIES: No known drug or food allergies CHRONIC MEDICATIONS: Synthroid 0.200 mcg. FAMILY HISTORY: Her mother died of colon cancer at age 53 years. SOCIAL HISTORY: The patient is married with four children. She does not drink or smoke.
[Solved]: History and Physical Examination PATIENT NAME:…
Need help with your Clinical Case Studies case study or NCLEX preparation? Connect with a verified Nursing expert now.