Health assessment

CC: “I have bumps on my bottom that I want to have checked      out.”HPI: AB, a 21-year-old WF college student reports to your      clinic with external bumps on her genital area. She states the bumps are      painless and feel rough. She states she is sexually active and has had      more than one partner during the past year. Her initial sexual contact      occurred at age 18. She reports no abnormal vaginal discharge. She is      unsure how long the bumps have been there but noticed them about a week      ago. Her last Pap smear exam was 3 years ago, and      no dysplasia was found; the exam results were normal. She      reports one sexually transmitted infection (chlamydia) about 2 years ago.      She completed the treatment for chlamydia as prescribed.PMH: AsthmaMedications: Symbicort 160/4.5mcgAllergies: NKDAFH: No hx of breast or cervical cancer,      Father hx HTN, Mother hx HTN, GERDSocial: Denies tobacco use; occasional etoh, married, 3      children (1 girl, 2 boys)

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