The patient is a 25-year old female who lives in Hialeah, Florida. She was admit
ID: 99530 • Letter: T
Question
The patient is a 25-year old female who lives in Hialeah, Florida. She was admitted to the open-clinic with a low-grade fever, headache, and fatigue which has persisted for four days. Questioning shows the patient works as a dental assistant. She has been in a monogamous relationship for the past 2 months; however prior to that she had multiple sex partners (estimated 4 partners in addition to current) within the last year. She has taken oral contraceptives for the past month; before which she used condoms. She recalls having unprotected sex twice within the last year. Her last menstrual period was ~43 days ago. She has a family history of type-2 diabetes (mother), as well as Parkinson’s disease (grandfather). She does not partake in drugs of abuse. She owns a cat. She has no recent (last 2 years) history of foreign travel. She is allergic to penicillin.
Review the patient's medical history, and then identify risks and concerns that are relevant to your diagnosis (and the patient's treatment).
Indicate "YES" with a red checkmark, and "NO" with a blue checkmark.
Part A·Identify relevant information Review the patient's medical history, and then identify risks and concerns that are relevant to your diagnosis (and the patient's treatment) Indicate "YES" with a red checkmark, and "NO" with a blue checkmark. Hints Patient Intake Form Medical History (Hx) | Risks, Predispositions, Notes of Concern Assessment Name: Becky Address Sex F Age: 25 Hialeah, FL Age-related risk of disease? Occupation: Dental assistant Social History Relationship status: Monogamous (current) Occupational risk of disease? Risk of sexually transmitted infection (STI)? Multiple sex partners within the last year At least two instances of unprotected sex Reproductive status: Risk to fetus? Pregnant (first pregnancy) Age of menarche: 12 Last menses: 43 days ago Lifestyle factors Cat owner No drugs ofabuse No foreign travel Risk of vector-borne disease? Risk of drug-related disease exposure? Risk of travel-related disease exposure? Family History Type 2 diabetes (mother) Parkinson disease (grandfatherj) Risk of genetic/ familial disease? oeneticd famlial disease? Medical History Allergies: Current medications: Penicillin Oral contraceptives Special concems for treatment? Risk of immunocompromise? Presenting symptoms: Fever, headache, fatigue (4 days) Reset HelpExplanation / Answer
Age related risk of disease - NO , as she is very young only 25 years old.
Occupational risk of disease- YES , as various hazards are associated with dentistry because of contact with patients, equipments, chemicals , X-rays, etc
Risk of sexually transmitted infection- YES, as she has two chances of unprotected sex with multiple partners.
Risk to foetus- YES, as microbes in blood can reach foetus.
Risk of vector borne diseases- YES, as she has cat as a pet.
Risk of drug related disease expsure- NO, as she is not exposed to drugs.
Risk of travel related disease exposure- NO, as she has not travelled for the past 2 years.
Risk of genetic/familial disease- YES ,as her mother has type 2 diabetes which can be inherited in an autosomal recessive fashion. And also because her grandfather is affected with Parkinson's disease which can also be inherited.
Speciized concerns of treatment- YES, as there are chances of inherited diseases and STDs
Risk of immunocompression- YES, as during STDs, immune system is the first to get affected.
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