Section 1 Case Study A high school senior comes to your office for a physical exam to allow her to participate in sports at school. She denies any problems.While taking her history, she admits that she is sexually active and has had three sexual partners in the past year, but has never used any form of birth control other than the occasional use of condoms with one of her partners. HistoryShy when talking about her sexual practicesHas never had a pelvic examHer periods have been regular, but she has recently noted some spotting between periods. Her last menstrual period was 3 weeks ago.Denies vaginal discharge, dyspareunia, genital lesions or soresYour Physical Exam Findings are: Vital signs: blood pressure 118/68, pulse 74, respiration 18, temperature 37.1° CBreast, thyroid, and abdominal exam within normal limitsOrthopedic exam within normal limits – no scoliosis noted, joints limber without limited range of motion.
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History, partner, Sexual intercourse, Uterus, Vagina, Pelvic inflammatory disease