Write an 8- to 10-page comprehensive paper that addresses the following: Write an 8- to 10-page comprehensive paper that addresses the following:1. General patient informationa. Ageb. Race/ethnicityc. Partner status2. Current health statusa. Chief concern/complaint and history of present illness (include a completesymptom analysis of chief complaint(s) utilizing OLDCART for a sick/problemfocused visit)b. Last menstrual period or year of menopausec. DES exposure (if born between 1948 and 1971)d. Sexual activity statuse. Barrier preventionf. Sexual preferenceg. Satisfaction with sexual relations3. Contraception method (if any)4. Patient historya. Past medical history• Major medical events (including pediatric events)• Psychological and mental health• Surgeries and/or hospitalizations if pertinent• Medications, including prescriptions, over-the-counter medications, homeand herbal remedies, calcium, and vitamin supplements• Allergies, including drug, food, and environmentHealth maintenance/screenings, including results of patient’s last Pap andmammogram as appropriate, as well as previous vaccinations (HPV,MMR, hepatitis B, last dT, and pneumovax/influenza as appropriate)b. Family medical historyc. Gynecologic history• Nullipara vs. multipara• History of sexually transmitted infections and sexually transmitteddiseases• Menarche and menstrual patterns• Menopause or peri-menopausal symptoms (if applicable)d. Obstetric history• Gravida and parity status (TPAL)• Pregnancy history, including history of preterm or low birth weight, otherpregnancy complications, history of sexually transmitted diseases, andany pertinent negativese. Personal social history (as appropriate to the current problem)• Cultural background• Education and economic condition• Abuse history including assault and forced sex (past and current)• Occupational health patterns• Environment• Current health habits and/or risk factors• Substance use (must include for every patient)• Tobacco including frequency and longevity• Alcohol including results of CAGE unless patient has never used• Recreational drug use (past and current)• Exercise and physical activity• Diet and nutrition• Sleep• Caffeine5. Review of systems (ROS)a. Must include reproductive system as well as other pertinent systems (systemsrelevant to HPI should be included under HPI)6. Physical exama. General exam, including vital signs, height, weight, and BMI on every patientb. Physical exam focused on episodic complaint (include numbers of weeksgestation, fundal height, and fetal heart tones for OB patients)7. Labs, tests, and other diagnosticsa. Pertinent labs, test, and other diagnostics (include routine tests such as triplescreen and urine dip for OB patients)8. Differential diagnosesa. Explain why this set of differential diagnoses should be considered and whyeach diagnosis should be ruled in or ruled out.9. Management plana. Diagnosisb. Treatmentc. Patient educationd. Follow-up care
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