...Initials: J.K. Age: 39 Sex: F Race: Caucasian Health Care Profile Medications and Med Synthesis: Tramadol 50 mg prn Allergies: NKDA Reason for Contact: annual exam and pap smear History of Present Illness: Last pap was 10 years ago and was abnormal. Patient has been having heavy but regular periods for the past year. Bleeding seems to be worsening monthly. Patient reports y days of bleeding with the first 2-3 so heavy that she is soaking through a super plus tampon and pad hourly day and night. She is fatigued all of the time but has increased fatigue the week of her cycle. She has large clots and very heavy cramping and back pain associated with cycles. She denies having a history of anemia aside from during pregnancy. She does feel occasionally dizzy or lightheaded with position changes the week of her cycle. Past Medical History Childhood illnesses: denies measles, mumps, rubella, varicella, rheumatic fever, and pertussis Major illnesses: none Hospitalizations and surgeries: History of Catheter Ablation Atrial Supraventricular Tachycardia 2012. Significant injuries: denies Health Maintenance General health screening: a. Frequency of dental exams/treatment: biannual exam & cleaning; most recent: 5/2015 b. Last eye exam: 4/2015 c. Colonoscopy and rectal exam: not performed d. Lab work: denies any lab work for the past 10 years e. Immunizations: Reports TDaP in 8/2013; received all...
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...STUDENT NAME: DATE: 3/25/13 CLIENT OVERVIEW | CLIENT INITIALS: A.F | AGE: 27 | MARITAL STATUS: Married | ETHNICITY: White | RELIGION: N/A | LMP: 6 / 24 /12 | EDC: 3 / 31 /13 | GESTATIONAL AGE: 39 weeks | G: 3 | T: 3 | P: 0 | A: 0 | L: 3 | PERTINENT HEALTH HISTORY | CHIEF COMPLAINT:(reason for admission in pt’s words)Patient stated “My water broke and I began having contractions”. She also felt as if her blood pressure was “high”. ADMISSION VE: / / | HISTORY OF PRESENT ILLNESS:(significant events/complications in labor/hospital stay):Client’s blood pressure was 140/90 upon admission. | PRENATAL CARE: * Maternal and fetal vitals (includes FHR). * Fetal baseline: 130s * Variability (marked) * Fetal movement * BPP score of 8 * Prenatal labs * DTR’s ( 2+) | YEAR | TYPE of DEL | GEST AGE | F/M | BIRTH COMPLICATIONS | NB STATUS | 1.2004 | NSVD | 40 w | F | None | Living | 2.2008 | NSVD | 38 w | M | None | Living | 3.2013 | NSVD | 39 w | F | None | Living | 4. | | | | | | 5. | | | | | | OB/GYN/MEDICAL/SURGICAL/SOCIAL HISTORY: * Former smoker (Cigarettes) * Gravida 3 Para 3 * Post-partum depression (No meds during pregnancy) * Fibroid x 2 * PIH | MATERNAL LABS | Blood Type/Rh: O - | HgB/HCT:10.0 / 31.6 | WBC/Platelets:8.4 / 286 | GCT: 100 | GBS: Neg | HIV: Neg | Hep B: Neg | Rubella: Need vaccine | RPR/STS: Neg | Gonorrhea: Neg | Chlamydia: Neg | Other: | ...
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...Nanda was multi tasking. She was eating a chocolate, chatting with her friends, and working on documentation for her next project at the same time. She was sitting alone in her office cubicle on a Sunday night. The cubicle had four computers in four corners. On weekdays rest of the three seats were occupied by three other software engineers. Nanda had some pending work, so she had to come on a weekend and except for a colleague of hers, Jack, the floor was deserted. Nanda had always hated Jack because of his arrogant and egotistical attitude. He really got on her nerves. Nanda finished her documentation. The time was 8:28 pm. She started checking her mailbox before she called it a day. There were a couple of unread mails but one caught her eyes. It was from an unknown sender with a red exclamation mark signifying importance. Nanda opened the mail a little unsure whether the thing carried some virus. The content of the mail was in little black letters. "Death is a game. Game chooses many random lives everyday. Today it has chosen you. If you don't get out of this cubicle in an hour , you will die. Find a way to get out and you will live. Time is now 8:32. The game starts, the moment you finish reading this. Best of luck" The moment Nanda read the mail, it got deleted automatically from her inbox. She knew it was a prank from Jack. She checked her watch, it was 8:32. She switched off the computer and got up from her seat. She took her bag and slid it across her shoulder...
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