Comprehensive soap note - Assignment Geeks

Description

S.R. is a 39-year-old, G2P0 African American female who came to the clinic for Well Women exam. The patient reports she would like to get a referral for mammogram due to family history of breast cancer. Last Mammogram was 2022, result showed dense tissue. PMHx of Hypertension. Normal sinus rhythm, no murmur. Breast exam: No masses, adenopathy or skin changes, no nipple retraction, or discharge. Abdomen soft, nontender, Pelvic exam: External genitalia normal, no rash or redness. no odorous discharge. Bp 138/96, P70, R20, T97.2, Wt. 205Ibs. BMI ?

Current medication: Multivitamin daily, Amlodipine 10mg.

Past surgical Hx : Cholecystectomy

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