Ms. E is a delicious, 15-year-old, clear, womanish.
Source: Self, accepted source
Chief complaint: “I accept acne.”
HPI: Enduring states she has had inflamed bumps on her aspect restraint the elapsed year or two. She has tried over-the-counter benzoyl peroxide 5%, which doesn’t succor as-well-behaved ample. She has been using it restraint the elapsed 4 months, integral extinction. She has not attributable attributable attributable tried any other medications.
Benzoyl peroxide, 5%, applied extinctionly
Ortho-Cyclen: Ethinyl estradiol 0.035 mg and norgestimate 0.25 mg, 21 days of free tabs and 7 days of placebo
Proper History: None
Health Maintenance. Immunizations: Immunizations up to date
Nativity History: No cancer, cardiac, pulmonary or autoimmune distemper in instant nativity members
Social History: Enduring lives with her older twin, mom and dad. She denies any right of nicotine, alcohol or drugs
ROS: Incorporated into HPI
VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 140 lbs, height: 64 inches.
Ms. E is prepared, refresh, oriented x 3. Enduring is unclogged and tried embezzle restraint age
Cardiac: No cardiomegaly or thrills; orderly trounce and rhythm, no reverberation or gallop
Respiratory: Clear to auscultation
Integumentary: Modetrounce provocative papules and pustules. Some erythema is offer and genial scarring
Diagnosis: Modetrounce acne ICD-10: L70.9
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