[Solution]Unable to have Intercourse Due to Lack of Desire 

Case:  Unable to have intercourse due to lack of desire 1-24 years old afro American 2-no past medical history 3-married, no kids Requirements: 1- primary…

Case:  Unable to have intercourse due to lack of desire
1-24 years old afro American
2-no past medical history
3-married, no kids
Requirements:
1- primary diagnostic
2- three differential diagnostic
3-ICD 10
4- Treatment: medication, doses, strength, route, frequency, duration
5- Education
6-Planning
7- Follow up appointments
Follow FNU format.
 

Patient Initials:
Pt. Encounter Number:

Date:
Age:
Sex:

 Allergies:                                                                                  Advanced Directives:           
 

SUBJECTIVE

CC:
 

HPI: Describe the course of the patient’s illness:
Onset:
Location:
Duration:
Characteristics:
Aggravating Factors:
Relieving Factors:
Treatment:
 
 

Current Medications:
 
 

PMH
 
Medication Intolerances:
 
Chronic Illnesses/Major traumas:
 
Screening Hx/Immunizations Hx:
 
Hospitalizations/Surgeries:
 
 

Family History:
 

Social History:
 

ROS

General
 
Cardiovascular
 

Skin
 
Respiratory
 

Eyes
 
Gastrointestinal
 

Ears
 
Genitourinary/Gynecological
 

 
 

 
 

Nose/Mouth/Throat
 
Musculoskeletal
 

Breast
 
Neurological
 

Heme/Lymph/Endo
 
Psychiatric
 

OBJECTIVE

Weight                    BMI
Temp
BP

Height
Pulse
Resp

PHYSICAL EXAMINATION

General Appearance
 

Skin
 

HEENT
 

Cardiovascular
 

Respiratory
 

Gastrointestinal
 

Breast
 

Genitourinary
 

Musculoskeletal
 

Neurological
 

Psychiatric
 

Lab Tests

 
 

 

Special Tests

Diagnosis

·         Primary Diagnosis-
§       Evidence for primary diagnosis should be documented in your Subjective and
Objective exams.
 
o  Differential Diagnoses–
 
PLAN including education
o  Plan:
§       Further testing
§       Medication
§       Education
§       Non-medication treatments
§  Referrals
§       Follow-up visits
 

References

 
 

Assignment status: Solved by our experts

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