She doesnt monitor her blood sugar Last blood glucose was elevated last week in

She doesnt monitor her blood sugar last blood glucose

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She doesn't monitor her blood sugar. Last bloodglucose was elevated last week in the emergencyroom. No surgeries. OB/GYN: Menarche, age 11.First sexual encounter at age 18, sex with men,identifies as heterosexual. Never pregnant. Lastmenstrual period 3 weeks ago. For the past yearcycles irregular (every 4-8 weeks) with heavybleeding lasting 9-10 days. No current partner.Used oral contraceptives in the past. Whensexually active, reports she did not use condoms.Never tested for HIV/AIDS. No history of STIs orSTI symptoms. Last tested for STIs four years ago.Hematologic: Denies bleeding, bruising, bloodtransfusions and history of blood clots. Skin:Reports acne since puberty and bumps on theback of her arms when her skin is dry. ComplainsHistory Assignment | Completed | Shadow Health2 of 411/20/2018, 5:32 PM
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Student DocumentationStudent DocumentationModel DocumentationModel Documentationof darkened skin on her neck and increase facialand body hair. She reports a few moles but noother hair or nail changes.Health MaintenanceLast eye exam was as a child.Last pap smear was 4 years ago.Does not reguarly attend the dentist.Up to date on immunzations.Does not smoke.Diet is not great.Last Pap smear 4 years ago. Last eye exam inchildhood. Last dental exam “a few years ago.”PPD (negative) ~2 years ago. No exercise. 24-hourDiet Recall: States that she skipped breakfastyesterday, and would typically have a baked goodfor breakfast, a sandwich for lunch, and a meatloafor chicken for dinner. Her snacks consist ofpretzels or French fries. Immunizations: Tetanusbooster was received within the past year,influenza is not current, and human papillomavirushas not been received. She reports that shebelieves she is up to date on childhood vaccinesand received the meningococcal vaccine incollege. Safety: Has smoke detectors in the home,wears seatbelt in car, and does not ride a bike.Does not use sunscreen. Guns, having belonged toher dad, are in the home, locked in parent’s room.Family HistoryMother: high cholestoral and high blood pressurefather: died in a car accident last year at 58, highcholesterol, type 2 diabetes.Brother: overweightSister: asthmaMaternal grandmother: died of stroke, high bloodpressure, high cholesterolMaternal grandfather: died of stroke, high bloodpressure, high cholesterolPaternal GRandfather: died of colon cancer, type 2diabetesPaternal grandmother: hypertension, still alivePaternal uncle: alcholicNo history of mental illness.• Mother: age 50, hypertension, elevatedcholesterol• Father: deceased in car accident one year ago atage 58, hypertension, high cholesterol, and type 2diabetes• Brother (Michael, 25): overweight• Sister (Britney, 14): asthma• Maternal grandmother: died at age 73 of a stroke,history of hypertension, high cholesterol• Maternal grandfather: died at age 78 of a stroke,history of hypertension, high cholesterol• Paternal grandmother: still living, age 82,hypertension
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