Application – Comprehensive Patient Assessment ON Abnormal Uterine Bleeding

Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.

 

Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

 

To complete

 

Write an 8- to 10-page comprehensive soap Note paper on Abnormal Uterine Bleeding , that addresses the following:

 

Age, race and ethnicity, and partner status of the patient

 

Current health status, including chief concern or complaint of the patient

 

Contraception method (if any)

 

Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)

Review of systems

Physical exam

Labs, tests, and other diagnostics

Differential diagnoses

Management plan, including diagnosis, treatment, patient education, and follow-up care.

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