Reference no: EM133281570
Ginger Jones is a 46 y/o white Female. Presents to the clinic with her 4 children and her mother. All children are adopted. She reports occasionally smoking (1 pack/week x 12 years) and drinking about 3--4beers a week. She thinks she may have a UTI and wants a medication for that. Symptoms include burning on urination, frequency, and dark colored urine with a bad smell. She also reports being in a recent new sexual relationship. They use condoms for contraception currently, but she states she doesn't want to get pregnant and wants to be put on a birth control pill or something better than what she's using now. She wonders what she needs to do about getting a mammogram, as she has never had one. Patient is also asking about other screenings she may need. She describes a sedentary lifestyle with a diet high in fast--foods and processed foods but states she does eat fruit like oranges,apples, and grapefruit at least once a day. She works as a secretary at a busy law firm, so she sits most of the day. Her fasting BS today is 304.PMH includes depression, HTN, High Triglycerides, Type 2 DM, resolved GC (Gonorrhea) 3 years ago. She takes the following medications: Glipizide 5 mg ER po bid; HTCZ 25 mg qd, Zocor 20 mg qd, Zoloft 100mg qd, St. John's Wort 600 mg qd. She reports an allergy to Cipro (itching).
BMI 34.
Describe impression/concerns for each patient and how you will address each.
Describe Health Promotion recommendations for all 6 patients (include screenings and other age and issue appropriate recommendations).
Discuss Growth and Development for all children (expectations/alterations) based on age.
Nutrition recommendations for all 6 patients (problems/plan).
Exercise recommendations for all 6 patients (problems/plan.
Immunization needs for all 6 patients (what they should have had up to this point and what they need to be up--to--date on immunizations).
Medication concerns with specific changes/additions for all 6 patients (problems/plan).
Diagnosis and Differential Diagnosis.