Clinic complaining of pelvic pain

Reference no: EM133764350

POST 1

Donna is 35-year-old African American female who comes to the clinic complaining of pelvic pain that started as intermittent, but now is almost constant. She also complains of irregular vaginal bleeding/spotting that has occurred in between her monthly menses for the last six months. She has no family history of breast or ovarian cancer. Her vital signs (VS) and BMI are all within normal limits (WNL), but upon physical examination, you palpate a firm, raised area on her uterus. You note no cervical motion tenderness (CMT), no adnexal tenderness (AT), and no other abnormalities. She is G2 P2 with both normal spontaneous vaginal deliveries (NSVD) 10 and 8 years ago.

Subjective:
• Chief Complaint (CC): Pelvic pain and irregular vaginal bleeding.
• History of Present Illness (HPI): Donna, a 35-year-old African American female, presents with pelvic pain that has progressed from intermittent to constant, along with irregular vaginal bleeding/spotting for the past six months.
• Medications: No current medications.
• Allergies: No known drug allergies.
• Last Menstrual Period (LMP): Two weeks ago.
• Gyn/OB history: G2P2 with normal spontaneous vaginal deliveries 10 and 8 years ago.
• Past Medical History (PMH): No significant past medical history.
• Family History: Denies family history of breast, uterine, cervical or ovarian cancer.
• Social History: Non-smoker, occasional alcohol use.

Reference no: EM133764350

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