Brenda Seggerman Er Report
BACKGROUND PHYSICAL EXAMINATION
OR CRISIS DEPARTMENT TREATMENT RECORD
Sufferer Name: Brenda C. Seggerman
Patient ID: 903321
Particular date of Admission/Date of Entrance: 03/27/----
Admitting/ Attending Medical professional: Alex McClure, MD
Acknowledging Diagnosis: ectopic pregnancy
Primary Complaint: The patient presents to the emergency room today complaining of lower stomach pain. HISTORY OF PRESENT HEALTH ISSUES: The patient states that this lady has been having vaginal bleeding, more like spotting, over the past month. Your woman denies the chance of pregnant state. Although, she states that she is sexually active and using no birth control. GYNOCOLOGIC HISTORY: Affected person is gravida 2, para 1, abortus 1 . Her only child is a 15 year old daughter, who hails from Texas with grandmother. PREVIOUS MEDICAL HISTORY: Great for Hepatitis B.
PAST MEDICAL HISTORY: Pilonidal cyst eliminated in the remote control past, had plastic surgery on her ears as a child. SOCIAL HISTORY: Married, offers one girl. Patient is actually a substitute instructor. Smokes one pack of cigarettes on a daily basis. Forbids EtOH. Smoked marijuana yesterday evening. No IV drug abuse. ALLERGIES: cognes
REPORT ON SYSTEMS: Individual complains of lower abs pain within the past week, that apparently received much worse last night through this morning was intolerable. She actually is also having some nausea and throwing up. Denies hematemesis, hematochezia, and melena. This lady has had oral spotting within the last month, with questionable penile discharge too. Denies urinary frequency, desperation, and hematuria. Denies arthralgias. Review of devices is in any other case essentially unfavorable. PHYSICAL ASSESSMENT: Vital indicators show temperature at 97 degrees F, pulse 53, respirations twenty-two, blood pressure 108/60. GENERAL: Physical exam reveals a well-developed, well-nourished, thirty-five year old, white-colored female in a moderate sum of stress at the time of the examination. HEEMT are unremarkable, except for poor (continued) HISTORY AND...