, Patient Information
Name: Laura Wood
Age: 41 years old
Gender: Female
Setting: Outpatient Primary Care Clinic with laboratory capabilities
History of Present Illness (HPI)Narrative:
Laura Wood, a 41-year-old Caucasian female, presents to the
outpatient primary care clinic for a routine well woman evaluation. She
reports feeling generally healthy with no acute complaints but
mentions occasional fatigue, which she attributes to her busy schedule
as a nurse. She denies weight changes, fever, night sweats, or pain.
Laura reports regular menstrual cycles (every 28–30 days, moderate
flow, no dysmenorrhea) and no gynecologic concerns. She is sexually
active with her husband, uses condoms for contraception, and denies
recent changes in sexual health or symptoms like vaginal discharge or
pelvic pain. She is up to date on her last Pap smear (normal, 2023) and
mammogram (normal, 2024). Laura expresses mild anxiety about
breast cancer due to a friend’s recent diagnosis and wants to ensure all