Brenda Seggerman H&P

EMERGENCY department TREATMENT RECORD patient Name: Brenda C. Seegerman unhurried ID:903321 Date of opening 3/27/2012 Emergency get on Physician: Alex McClure, MD Admitting Diagnosis: Eptopic Pregnancy CHIEF COMPLAINT: The patient presents to the requirement room this morning complaining of lower abdominal annoyance. accounting OF PRESENT ILLNESS: The patient states that she has been having vaginal bleeding, more handle spotting, over the past month. She denies the chance of pregnancy, although she stated that she is sexually lively and using no birth control. GYNECOLOGIC HISTORY: Patient is gravid 2, para 1, abortus 1. Her only child is a 15-year-old young woman who lives in Texas with her grandmother. erstwhile(prenominal) MEDICAL HISTORY: positive for hepatitis B. PAST SURGICAL HISTORY: pilonidal cyst removed in the unconnected past. Had p fitic surgery on her ears as a child. affable HISTORY: Married, has 1 daughter; patient works as a substitute teacher. Smokes 1 pack of cigaretts on a daily basis. Denies EtOH. Smoked marijuana last night. No IV drug abuse. ALLERGIES: TETANUS MEDICATIONS: None REVIEW OF SYSTEMS: Patient complains of lower abdominal pain for the past week that apparently got much worse last night and by this morning was intolerable.

She is also having some illness and vomiting. Denies hematemesis, Hematochezia, and melena. She has had vaginal spotting over the past month with self-styled vaginal discharge as well. Denies ueinary frequency, urgency, and hematuria. Denies arthralgias. Review of systems is otherwise fundamentally negative. PHYSICAL EXAMINATION: Vital signs show temperature 97 degrees, shudder 53, respirations 22, blood pressure 108/60. General: physical exam reveals a well-developed, well-nourished 35-year-old white female in a conduct amount of distress at the time of the examination. EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seggerman Patient ID:903321 Date of Admission 3/27/2012 Page 2... If you want to get a full essay, order it on our website: Ordercustompaper.com

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