NURS-6551N-14, Primary Care of Women.

NURS-6551N-14, Primary Care of Women.COMPREHENSIVE SOAP NOTE Comprehensive Soap Note The following is a comprehensive assessment on a 19-year-old female, G1 T0 P0 A0 L0. She is of mixed ethnicity, with her mother being white and her father being African American. She is single and still lives with her single mother and her sister. She comes into today with complaints of vaginal and pelvic pain. The pain has been going on for several days and is always in the pelvic and vaginal area. The pain starts when she urinates or when she is having intercourse and describes it as a shooting pain. She reports aggravating factors such as a vaginal discharge that is constant and describes the color as thick, mucous and sometimes bloody discharge. She has not using anything or taking anything to relieve the pain. According to the patient her last menstrual period was January15, 2016 and using the Nagele´s rule, which is to add 7 days to the first day of the menstrual period, then subtract 3 months it will calculate the estimated due date, which will be October 22, 2016 (Schuiling & Likis, 2013). As far as she knows she was not exposed to Diethylstilbestrol (DES) and neither was her mother. Diethylstilbestrol (DES) was used between the times of 1940 and 1971 and was used as an artificial formula of estrogen to prevent miscarriages, preterm labor, and complications during pregnancy but has been shown to cause clear cell carcinoma (Diethylstilbestrol (DES) and Cancer, 2011).