H & P Rotation 9 OBGYN

Date & Time: 4/20/23 11:20 am Full Name: J. L. DOB: 1997 Location: Woodhull hospital Source of information: self Reliability: reliable CHIEF COMPLAINT: discharge x 4 days HISTORY OF PRESENT ILLNESS: 26 y/o G1P1001 female LMP: 11/06/2023 presents for annual exam c/o vaginal itching x 4 days. Reports she noticed odorless white clumpy discharge that has gotten progressively worse over past few days. Patient admits to multiple episodes of unprotected sex over the past month with multiple sexual partners both male and females. Denies fever, chills, dysuria, hematuria, urinary urgency/frequency, dyspareunia, abdominal pain, vaginal bleeding, nausea, vomiting. LMP: 11/06/2023, q monthly, … Continue reading H & P Rotation 9 OBGYN