Patient Age: 34 Years
Patient Sex: F
Patient Enthnicity: White
CLINICAL NOTES (Do not Pt reports to the clinic with non-specific complaints. LMPenter patient information that nausea, low back pain. All other tests/exams/systems negawould violate HIPAA confirmed with two POC tests. P. 1. Pt advised to east a loconfidentiality.): B6 intake; 3. Ginger chews PRN for nausea. 4. Prenatal Vwith Obstetrics to schedule Progress checks
Setting Type: Outpatient Clinic
Insurance: Insured
Referral: Obstetrics
Time with Patient (min): 30
Consult with Preceptor
(minutes): 15
Student Participation: 100%
Chief Complaint: Nausea
Type of H&P: Problem-Focused
Reason for Visit (Check at
least one):
Episodic (Acute Care)
Parenting/Family Education Counseling
Prenatal Care
04- Case Log Kimberly McKissack
24-19 Hampton Veterans Administration Medical Center
Rotation Type: NSG6430
Diagnostic Codes: A60.04 | Herpesviral vulvovaginitis
E66.9 | Obesity, unspecified
Patient Age: 37 Years
Patient Sex: F
Patient Enthnicity: Black or African American
CLINICAL NOTES
(Do not enter patient
37-year-old black female patient presenting to the office today wi
where her thigh fold is. She had an office visit in June for an initiainformation that would prescribed Acyclovir 400mg TID x10 days with positive results. Sviolate HIPAA reoccurring symptoms. She denies any fever, chills, night sweats,
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