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A 21-year-old woman presents for an annual gynecologic examination. She does not have a sexual partner at this time, has never been pregnant, and has no complaints. She is using the subdermal implant for contraception, which was placed 2 years ago. Her past medical history is benign; she has never had surgery and has never had a sexually transmitted infection. She has had seven lifetime sexual partners, both male and female. She states her vaccines are current but denies ever having the HPV vaccine. Her BMI is 23, and her vital signs are normal. She has not had her menses or any vaginal bleeding for 1 year. She drinks 6 to 12 alcoholic drinks per week, smokes “occasionally” on weekends, and does not use drugs. What would today’s annual exam entail? Include screening and preventive tests that should be included in todays visit Include ICD 10 code Discuss up to date guidelines as appropriate to this patients plan of care . Include plan if patient is positive for HPV and if she is Negative for HPV.
SCIENCE
HEALTH SCIENCE
NURSING

 
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