Thelma Smith is a 58-year-old African American female who presentsto the office with the complaint o

Thelma Smith is a 58-year-old African American female who presentsto the office with the complaint of brown discharge for several days last week. Her medical history is remarkable for type 2 diabetes somewhat controlled with glipizide and metformin (last A1C 7.5). She is a G0, having never been able to get pregnant. She is up to date with mammograms and has had a colonoscopy 1 year ago, all normal. Her pap history is normal with her last pap 2 years ago reported an NILM HPV negative, atrophic changes, no endocervical cells noted.Vital signs temperature 98.1 BP 140/88, pulse 82, respirations 12. She is 5’6″ and 272 lbs. (BMI 43.90). Focused exam: -Abdomen: soft, obese, + BS -VVBSU:  brown discharge noted, -Cervix: brown blood noted coming from os, no cervical motion tenderness -Uterus: unable to assess due to body habitus -Adnexa: unable to assess due to body habitus Health Science Science Nursing NRNP 6552 Share QuestionEmailCopy link Comments (0)

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