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14-year-old Caucasian female presents to a school-based teen clinic. Her chief complaint is that she has had stomach aches daily for the past several weeks. She states that she feels better after she eats something and feels worse when she is hungry. She reports that she has tried to tell people about her stomach aches and feels she is being ignored. She is new to this school, after recently moving in with her aunt and uncle, her new legal guardians. A review of her school records shows that she often misses her first period class. She reports that this is because she has been so tired lately, and unable to wake up for school on time. During conversation with this patient, she reveals that she has not had a period since moving in with her aunt and uncle, 3 months ago. She moved in with her aunt and uncle after being removed from her mother's care for drug abuse. She states she likes living with her aunt and uncle, although they are very religious, attending church 3-4 times a week. She also states that she is happy to be away from her mother's boyfriend, calling him a "pig". When the.
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