NURS NRNP 6552 Advanced Nurse Practice in Reproductive Health Care

S. CC (chief complaint): Postcoital bleeding, sore throat, fever HPI: 24-year-old Caucasian female, presenting to the OBGYN clinic for regular care. She reports postcoital bleeding for the past six weeks, a sore throat for the past three weeks, with a fever for a day or two. Location: Vagina, throat Onset: 3 – 6 weeks Character: Sore Associated signs and symptoms: Fever, postcoital bleeding, sore throat Timing: After sex Exacerbating/relieving factors: Tylenol Severity: 6/10 pain scale Current Medications: No prescription medication. OTC Pamprin & Tylenol prn Allergies: NKDA PMHx: No medical history Soc & Substance Hx: Full-time as an administrative assistant. Her social history is remarkable for cigarette smoking, ½ packs per day (PPD) since age 14, ETOH only on weekends, 6-8 hard liquor/daily, and marijuana smoking. She jogs 3-4 times a week, “occasionally” uses sunscreen. She uses safe driving practices by wearing her seat belt. She denies texting and cell phone use while driving, and has support systems available.