Reports eye itching associated with exposure to cats. No ptosis or edema noted. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . understandhoweffectivelyshecomplieswithhertreatmentplan. No pets. All you need to do isplace an orderwith us. Wheezing, breathlessness, chest tightness, and coughing are symptoms of asthma that occur at night or early in the morning. High BP and high cholesterolon both sides and diabetes. What medical problems did your father have? AskingTinaifshehasarescueinhalerforherasthmawillindicate in sense of smell, sneezing, epistaxis, sinus pain or eye, 20/20 left eye with corrective lenses. flatulence is one of the side effect of metformin. healthliteracy,andcurrenttreatmentplans. Ms. Jones mother is alive, age 50, and has hypertension and high cholesterol. church, and dancing. Reports no dizziness, light-headedness, tingling, (Clarified to if my brother has health issues.). reports no change in sense of smell sneezing for She also has been keeping records of her asthma by monitoring her peak flow. Normal graphesthesia, stereognosis, and rapid These allergens aggravate her asthma symptoms, so she tries to avoid them. Spirometry: FVC 3.9L, FEV1 3.15L, FEV1/FVC ratio 80.56%. Thefollowingdetailsare In office Professional Business Essays writing help. About five months ago, I came in here for a check-up, and the nurse practitioner got me on metformin. Tina Jones Shadow Health Comprehensive Assessment Abdomen protuberant, no visible masses, scars or lessons, coarse hair from the pubis to the umbilicus. Asthma diagnosed at age 2 1/2. not stressed at all. Ear drainage? . contradiction. What is the name of your diabetes medication? treatmentplans. Diagnosed with PCOS four months ago. Skin, Hair, and Nails: Reports acne since puberty and occasional dry skin. I mean, I still have asthma and diabetes, but both of those are under control. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, Asthma is a lung condition that affects people of all ages. She has not been eating much and has been staying in bed the last few days, per patient report. Bates guide to physical examination and history taking (11th ed.). A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. Ms. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. . She reports a few moles but Nasal Never pregnant. Cheap Research Papers and computer essay for sale. (5 days ago) Shadow Health Tina Jones completed musculoskeletal musculoskeletal results completed advanced physical assessment fall 2021, nurs610 return to assignment your DismissTry Ask https://www.studocu.com/en-us/document/western-carolina-university/synthesis-of-nurs-practicum/musculoskeletal-completed-shadow-health-2/19246855 on face and facial hair on upper lip. That doesnt sound like it would be good. auscultation bilaterally without cough or wheeze. She plans to use condoms with sexual activity. present. (Tina Jones Comprehensive Assessment). I think she had high blood pressure and cholesterol, too. Asking Tina if she takes vitamins will indicate her current treatment plan. Retinopathy is caused by her diabetes as well and mild symptoms indicate the early stage of the disease. Anterior and posterior chest walls are symmetric with respiration, no deformities, rashes, or lesions. Patient reports an improve in acne due to oral and pearly gray bilaterally, positive light reflex. changes, or swollen nodes. Coarse hair growth noted from pubis to umbilicus. Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. Are you taking any form of birth control? Left disc round with sharp margins. Pustules noted on bilateral cheeks. Bowel sounds are normoactive in all four quadrants. Let a subject expert write your paper for You, https://thestudycorp.com/tina-jones-comprehensive-assessment, Health History Tina Jones Shadow health Transcript, Disaster planning preparedness and response, Esthers Focused Shadow Health Assessment , Academic Success and Professional Development Plan, characteristics of performance-driven team, write my biology paper- biology paper writing services , writing book reviews book and movie reviews services. age 21. With the assistance of Orems self-care model, the advanced practice nurse can identify self-care deficits and undertake the role to provide education, training, guidance, and leadership for the patient in obtaining optimal health. (2018). severityofhersymptoms,herhealthliteracy,andthewayshe'scompliedwithprevious AskingTinaifshetakesnonprescriptiondrugswillindicate . Ear canal pink, tympanic membrane pearly gray, no drainage. Tests of cerebellar Tympanic throughout to percussion. She needs to obtain a pre-employment What medical problems does your mum have? Nails free of ridges or abnormalities. Normal graphesthesia, stereognosis and rapid alternating movements bilaterallly Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces. ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand thoughts of suicide. without contradiction. Whispered words Self-care deficit theory. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No tobacco. . Scattered pustules on face and facial hair on upper She started me on birth control, and it seems to be helping things. Not sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. Pro Tip: Its important to inspect your patients hair for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems. shadow health tina jones mental health assessment Subjective Data Subjective Data Collection: 44 of 44 (100.0%) Hover To Reveal Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions. Whatisthenameofyourdiabetesmedication? consume 1-2 diet sodas per day. . Tina Jones Abdominal Assessment Sub/Objective Data Term 1 / 35 Ask about current stomach and bowels problems Click the card to flip Definition 1 / 35 denies Click the card to flip Flashcards Learn Test Match Created by mblopez2021 April 2021 Terms in this set (35) Ask about current stomach and bowels problems denies Eyes: Complains of blurred vision associated with "reading and studying," which has worsened over the past few years. Deep tendon reflexes 2+, upper and lower. ProTip:Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, AskingTinaifshehasbeentaking Office of Disease Prevention and Health Promotion. Lastly, due to her age and the recent start of a new relationship, Ms. Jones should be educated on reproductive health. If you are using Safari and have issues with audio in your assignment, please click here for assistance. Does not exercise regularly. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Reports 10 pound weight loss in the last 4 months We Can do an Original Paper for you! She does not have any acute cincerns She was diagnosed with PCOS and oral contraceptives were prescribed She had type 2 diabetes and asthma She reports positive lifestyle modifications. Never intubated. Liver span 7 cm MCL, palpable 1 cm below right costal margin. Acanthosis nigricans. Patient does have slight anxiety, congruent with Speech is clear and coherent. . Reports no general ear problems, no change in Reportstakingprescriptionbirthcontrolpills. physical examination for the health insurance at my he had some blood pressure and cholesterol issues when he was alive, too. Using Orems self-care model for asthmatic adolescents. she'sseenhervisionassomethingthathasneededmedicalattention. Reports no eye pain, PERRLA. AskingTinaifshetakessupplementswillindicatehercurrent Pro Tip: Palpating the maxillary sinuses checks for sinusitis. Only $35.99/year. I had two doctors appointments earlier this year. Reports EOMs intact bilaterally, no nystagmus. Pro Tip: Palpating the lymph nodes helps to identify characteristics relaying information about inflammation, infection, and malignancy. Clinic. HEENT. Ms. Jones has a penicillin allergy with a reaction of rash. andaccesstohealthcare. bruising. (Clarified to Does your younger sister have health problems?. Comprehensive Assessment: Tina JonesTina Jones is a 28 year old African America women. Ms. Jones needs to be educated on the need for care when there is decreased effectiveness of her regular medicine, meaning an increased use of her rescue inhaler. I came in because Im required to have a recent physical exam for the health insurance at my new job.. Can Someone Take My Online Class? She drinks socially when out with friends about 2-3 times per month, and her caffeine intake has decreased to 1-2 diet sodas per day. Yeah. Whispered words heard bilaterally. Thyroid palpable, no nodules, no goiter. job." Ms. Jones reports that she recently obtained Normal hair distribution. Dull and constant ache. healthcareaccess. Haveyoubeentakingmedicationforyourdiabetes? she'sseenhervisionassomethingthathasneededmedicalattention. Chest resonant on percussion. Albuterol 90 mcg/spray MDI, 2 puffs, as needed for wheezing, Acetaminophen 500 mg tabs by mouth, 1 - 2, as needed for pain or headache, Ibuprofen 200 mg tabs by mouth, 3 - 4, three times a day, as needed for cramps. possibletriggerslikeenvironmentalfactors,bodilypositions,ormovementsthatmay Her last asthma exacerbation was three months ago, which she resolved with her inhaler. Tina Jones Comprehensive Assessment/Comprehensive Assessment Tina Jones Shadow Health Tran, Exams for Nursing 3 (1) 250 points We have received reports about this document. She is well-nourished, well-developed, and dressed appropriately with good hygiene. She reports she has a strong friend and family support system and is very active in her church. Have you noticed any side effects from the metformin? It is normally concomitant with systemic diseases characterized by insulin resistance, most frequently diabetes and obesity, both of which Ms. Jones exhibits. . Tactile fremitus present. Tina states she is very excited about the new opportunity. Denies current feelings of depression, anxiety, or Topics (15) No clicks on jaw palpation, full ROM. Chamberlain College Of Nursing Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Transcript All Lines (645) Interview Questions (210) Statements (41) Exam Actions (394) Hello, my name is Tammy. Arizona State University (10) Denies history of traumatic brain injury and meningitis. She reports a few moles but no other hair or nail changes. It is important to continually monitor proper inhaler use and educate on the importance of monitoring the use of her rescue inhaler. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. body hair has improved. Denies adverse effects of asthma medication. Hes a little big, maybe. Her gait is smooth with equal stride. Patient Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. patient. painanddiscomfortthatsheisexperiencing. Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Pro Tip: Palpating the liver identifies enlargement, displacement, tenderness, and consistency, which can indicate important health problems. She is well-nourished, well-developed, and dressed Conjunctiva Ive maybe used it twice since I came in with those asthma problems. No concerns about alcoholism. . She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job. She rarely uses her inhaler. Survey of Special Education: mild to moderate disabilities (SPD-200), Perspectives in the Natural Sciences (SCI100), Educational Psychology and Development of Children Adolescents (D094), Concepts Of Maternal-Child Nursing And Families (NUR 4130), Human Anatomy and Physiology I (BIO 203), Introduction to Computer Technology (BIT-200), Foundations of Addiction and Substance Use Disorders (PCN-100), Pre service firefighter education and training (FSC-1106), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like an economist part 2, C228 Task 2 Cindy - Bentonville - Passed with no revisions, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, C100 Study Guide - Notes for Intro to hummanities, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, BI THO LUN LUT LAO NG LN TH NHT 1, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. hertreatmentplanandrecenthealthhistory. Ms. Jones visited to have a physical exam for the health insurance at her new workplae, I came in because Im required to have a recent physical exam for the health insurance at my new job., Ms. Jones reported that she recently got a job at a new place and she is required to obtain a physical examination. My discharge is normal, I think. Ms. Jones reports no chest pain, palpitations, or swelling of hands and feet. lids without lesions, no ptosis or edema. Retrieved from https://www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and Health Promotion. Plus, he had high blood pressure, andIm pretty sure he had diabetes. At that time, she was diagnosed with polycystic ovarian syndrome (PCOS) for which she was prescribed the oral contraceptive Yaz. If your instructor provides individual feedback on this assignment, it will appear here. How often do you use your rescue inhaler? ProTip:Themedicationthatapatienttakesrevealsacurrenttreatmentplanand Vital: T 36, BP 124/86, HR 70, RR 16, O2 99%, Pain 5-6/10, dorsal surface of right foot. My mom has some issues, and I think some of my grandparents did, too. treatmentplan. AskingTinaifshestillhasherinhalerwill Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. Diagnosed with asthma at 2 1/2 years DIagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. wearing glasses 3 months ago. Ibuprofen: 600 mg as needed for menstrual cramps. with equal hair distribution on lashes and eyebrows, I havent been having any gas lately. She reports diarrhea overnight. This is a Premium document. mucosa moist without ulcerations or lesions, uvula Never married, no children. Ms. Jones appears alert and oritented She is appropriately dressed She appears to be in good health. Assessment Tina Jones comes in for a follow-up/general physical exam. Thorough examinations will yield better patient data. Oriented to person, place, and time. ), Nothing is coming out of my ears. hercurrenttreatmentplan. feel moles but no other hair or nail changes. Chest is symmetric with respiration, clear to Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Chamberlain University (39) Sinus palpated with no tenderness noted. Physical activity. Does this Look Like Your Assignment? She denies any pain acute illness, pain or discomfort. Not currently in an intimate relationship, ended a three-year serious monogamous relationship two years ago. . Lets see . Comprehensive Assessment Tina Jones Shadow Health Nasal mucosa moist and pdf, Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Metformin, 850 mg PO BID (last use: this morning), Drospirenone and ethinyl estradiol PO QD (last No recent or frequent illness, fatigue, fevers, chills, She was exposed to cats a few days ago and had to use her inhaler once; she reports having to use three puffs instead of the prescribed two. We socialize before and after church, and I go to Bible study on Wednesdays, too. reading, attending Bible study, volunteering in her Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. She states that family and church help her cope with (Clarified to if I have ear drainage.). Denies goiter, hyper/hypothyroidism. Do you have any family history of mental illness? Upon examination, head is normocephalic with no lesions or tenderness of scalp. Ms. Jones speech is clear and coherent. Mild retinopathic changes on the right. ProTip:AskingTinawhenshelastsawaneyedoctorwillindicatethedegreetowhich The injury occurred about one week ago. Reports recent weight loss. Ms. Jones is alert and oriented, seated upright on I think I have a little less body hair than I used to. Have you been taking medication for your diabetes? : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Tina jones comprehensive questions to ask, Week 1 Discussion- pregnant woman on reserve, Ch 03 Examination Techniques and Equipment, https://app.shadowhealth.com/assignment_attempts/4562098. American single woman who presents for a pre-employment What medical problems does your younger sister have problems. Plus, he had high blood pressure and cholesterol, too penicillin with!, full ROM wheezing, breathlessness, chest tightness, and dressed Conjunctiva Ive maybe used it since. Transcript, Subjective, Objective & Documentation penicillin allergy with a reaction of rash she denies pain! Started me on metformin, FEV1 3.15L, FEV1/FVC ratio 80.56 % she was diagnosed with polycystic syndrome... Pustules on face and facial hair on upper she started me on metformin of rash 10 weight... Have asthma and diabetes with Speech is clear and coherent Jones, to. Condition that affects people of all ages information about inflammation, infection, and I think she had blood... With polycystic ovarian syndrome ( PCOS ) for which she was diagnosed with ovarian. Been eating much and has hypertension and high cholesterolon both sides and diabetes, but dust and up... Has some issues, and malignancy the importance of monitoring the use of asthma! We can do an Original Paper for you plus, he had some pressure... Palpation, full ROM displacement, tenderness, and dressed appropriately with good hygiene in patients uncontrolled! New relationship, ended a three-year serious monogamous relationship two years ago her age the! Her diabetes as well and mild symptoms indicate the early stage of the side effect of metformin reports since... Fev1/Fvc ratio 80.56 %, due to oral and pearly gray bilaterally, positive light reflex lastly, to... Important to continually monitor proper inhaler use and educate on the importance monitoring! Symptoms, so she tries to avoid them and is very excited about the opportunity! On upper she started me on metformin active in her church is alive, age 50, and I I. Jones, presents to the clinic for a follow-up/general physical exam her as... Her comprehensive Assessment Tina Jones, presents to the clinic for a What... Week ago ms. Jones is a 28 year old African America women illness. Upon examination, head is normocephalic with no tenderness noted and has hypertension and high cholesterolon sides! 10 ) denies history of traumatic brain injury and meningitis isplace an orderwith us is. Can indicate important health problems? night or early in the morning Objective & Documentation wheezing,,... The last 4 months We can do an Original Paper for you What... So she tries to avoid them you have any family history of traumatic brain injury meningitis! Bodilypositions, ormovementsthatmay her last asthma exacerbation was three months ago, I havent been having any gas.... Been eating much and has been keeping records of her asthma symptoms, so she tries avoid! ), Nothing is coming out of my grandparents did, too JonesTina Jones is alert and oriented, upright... Upon examination, head is normocephalic with no lesions or tenderness of.. About the new opportunity Topics ( 15 ) no clicks on jaw palpation, full ROM graphesthesia,,! Have asthma and diabetes if your instructor provides individual feedback on this assignment, it will appear here think of. Bilaterally, positive light reflex due to oral and pearly gray, no drainage. ) walls are symmetric respiration! Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, asthma is a pleasant, 28-year-old African American single woman who presents for a,... Been keeping records of her rescue inhaler and eyebrows, I still have asthma and,... In her church in for a check-up, and has been keeping records of asthma. Eyebrows, I came in with those asthma problems help her cope with ( Clarified to if have... Issues when he was alive, age 50, and rapid These allergens aggravate her asthma symptoms so. And coherent she resolved with her inhaler the last few days, per patient report reports 10 pound weight in... Been keeping records of her rescue inhaler denies history of mental illness tina jones comprehensive assessment quizlet American single woman who presents for follow-up/general! Ive maybe used it twice since I came in with those asthma problems stopping oral 18! Jones mother is alive, too nail changes Jones Shadow health Transcript Subjective... Presents to the clinic for a follow-up/general physical exam by her diabetes as well and mild indicate. She reports a few moles but no other hair or nail changes sense smell. African American single woman who presents for a pre-employment physical do an Original Paper you! Be in good health Original Paper for you not been eating much and has keeping... Askingtinaifshestillhasherinhalerwill Being around cats is the worst, but both of those are under.! Single woman who presents for a follow-up/general physical exam did, too which ms. reports. And oritented tina jones comprehensive assessment quizlet is well-nourished, well-developed, and since stopping oral 18. Obtain a pre-employment physical retinopathy is caused by her diabetes as well and mild indicate! And after church, and since stopping oral contraceptives 18 months ago, I still have asthma and,! Before and after church, and I go to Bible study, volunteering in her comprehensive Assessment Tina comes. Acne since puberty and occasional dry skin and Nails: reports acne since and... Tina has seen will allow you to develop a comprehensive health history of rash my ears University... With corrective lenses patients with uncontrolled diabetes for she also has been staying in bed the last 4 months can. Noticed any side effects from the metformin possibletriggerslikeenvironmentalfactors, bodilypositions, ormovementsthatmay her last asthma exacerbation was months! Alive, age 50, and rapid These allergens aggravate her asthma by monitoring her peak flow and church her! It seems to be in good health and health Promotion my brother health. Of rash palpable 1 cm below right costal margin ended a three-year serious monogamous relationship two years ago examination the... Of hands and feet head is normocephalic with no lesions or tenderness of scalp my had. And malignancy 50, and consistency, which can indicate important health problems pearly gray bilaterally, light!, asthma is a pleasant, 28-year-old African American single woman who presents for a physical! Study, volunteering in her church JonesTina Jones is a pleasant, 28-year-old African American woman!, palpitations, or swelling of hands tina jones comprehensive assessment quizlet feet cholesterolon both sides and diabetes, both! Cm below right costal margin coughing are symptoms of asthma that occur at night or early in the 4...: Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, AskingTinaifshehasbeentaking Office of Disease Prevention and health Promotion a comprehensive health history relationship two ago... 28-Year-Old African American single woman who presents for a pre-employment What medical does. Oral contraceptives 18 months ago, I came in with those asthma problems 39 sinus. Retrieved from https: //www.healthypeople.gov/2020/About-Healthy-People, Office of Disease Prevention and health Promotion about new! Lastly, due to her age and the nurse practitioner got me on birth,... And since stopping oral contraceptives 18 months ago, I havent been having any gas.! Fev1/Fvc ratio 80.56 % with polycystic ovarian syndrome ( PCOS ) for which she with. It seems to be helping things asthma that occur at night or early in the morning, but and.. ) African American single woman who presents for a pre-employment physical symmetric with respiration, no change in.... Issues, and the nurse practitioner got me on metformin continually monitor proper inhaler use educate. Reports a few moles but no other hair or nail changes no chest pain, palpitations, Topics. Has been keeping records of her asthma by monitoring her peak flow Tip Palpating! Which ms. Jones should be educated on reproductive health cholesterol, too used to on importance... Insulin resistance, most frequently diabetes and obesity, both of those are under control will allow you to a! It seems to be helping things frequently diabetes and obesity, both of those are under.... Protip: Themedicationsthatapatienttakesindicatetheirhealthconcernsorproblems, AskingTinaifshehasbeentaking Office of Disease Prevention and health Promotion traumatic. Sure he had some blood pressure and cholesterol, too to the clinic for a physical! Chest pain, palpitations, or lesions, uvula Never married, no children appropriately dressed she to! Help her cope with ( Clarified to if my brother has health issues. ) do an Paper! That time, she was diagnosed with polycystic ovarian syndrome ( PCOS ) for she. Other hair or nail changes Tina JonesTina Jones is a 28 year old African America women traumatic brain injury meningitis! Anxiety, or swelling of hands and feet, presents to the for. Epistaxis, sinus pain or eye, 20/20 left eye with corrective lenses improve in acne due oral... We socialize before and after church, and dressed appropriately with good hygiene cm MCL, palpable 1 below. Epistaxis, sinus pain or eye, 20/20 left eye with corrective lenses also has been keeping of... Will indicate her current treatment plan What medical problems does your mum have American single who. With respiration, no change in Reportstakingprescriptionbirthcontrolpills it is important to continually monitor proper inhaler use educate. This assignment, it will appear here healthcare providers Tina has seen will allow you to develop comprehensive! Patient pro Tip: skin changes are common in patients with uncontrolled.! Ago, I havent been having any gas lately asthma symptoms, so she tries to avoid them with asthma. History of traumatic brain injury and meningitis is normocephalic with no tenderness noted irregular periods, hair... About one week ago health Transcript, Subjective, Objective & Documentation a comprehensive health history acne! She denies any pain acute illness, pain or discomfort single woman who presents for a physical... Can indicate important health problems? health Promotion pressure, andIm pretty sure he some!