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Summary WK3Assgn2 Kiosh A.docx Episodic Visit: Adolescent Focused Notes Walden university NURS 6541- Primary Care of Adolescents and Children Patient Information: Initials: T. F. Age: 17 y/o Sex: female Race: C $7.49   Add to cart

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Summary WK3Assgn2 Kiosh A.docx Episodic Visit: Adolescent Focused Notes Walden university NURS 6541- Primary Care of Adolescents and Children Patient Information: Initials: T. F. Age: 17 y/o Sex: female Race: C

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WK3Assgn2 Kiosh A.docx Episodic Visit: Adolescent Focused Notes Walden university NURS 6541- Primary Care of Adolescents and Children Patient Information: Initials: T. F. Age: 17 y/o Sex: female Race: Caucasian Date of service-September 7, 2021....

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Episodic Visit: Adolescent Focused Notes




Walden university

NURS 6541- Primary Care of Adolescents and Children

Patient Information:

Initials: T. F. Age: 17 y/o Sex: female Race: Caucasian

Date of service-September 7, 2021.

Subjective.

CC: “I have sores on my genital region”

HPI: T.F is a 17-year-old female Caucasian who presented with a complaint of sores in her

genital region. She stated that she noticed the sores three days ago, and she stated that, she had

never had sores like that before. Patient described the sore as painful, achy, itchy, and sometimes

there is a burning sensation while urinating. Patient denies drainage. The sores didn’t change the

way they look since they first appeared. No treatment was done since they were first noticed. She

states that she is sexually active, and has newly met a partner. She also states that she had had an

unprotected sexual encounter on 08/29/21. She is on contraception with Depo Provera injection,

and her last injection was on August 17, 2021. She denies fever, chills, but has a slight weight

loss of 2lb from the last visit.

Current Medications: Depo Provera 150mg/ML, IM suspension, IM injection Q12 weeks

, Allergies: No known allergies to medications, animals, environmental

PM/SHx: Childhood asthma. Not currently on any medication.

Immunization Hx:

-Hep B: Completed (ages 2 months, 4 months, and 18 months). DTap: Completed (ages 2

months,4 months, 6 months, 15 months, 6 years, and 12 years). Hib: Completed (taken at ages 2

months, 4 month, 6 months, and 15 months). IPV: Completed (2 months, 4 months, and 18

months, 6 years). PCV13: completed (ages 2 months, 4 months, 6 months, and 15 months)

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