UC知道dr. naana afua jumah (student, harvard medical school): a 23-year-old woman
来源：百度知道 编辑：UC知道 时间：2024/06/06 01:05:21
Dr. Naana Afua Jumah (Student, Harvard Medical School): A 23-year-old woman was
seen in the gynecology clinic of this hospital because of a high-grade squamous intraepithelial
lesion seen on pathological examination of a Papanicolaou (Pap) smear.
Four weeks earlier, the patient had come to the adolescent and young adult
medicine clinic of this hospital to establish care and to receive counseling regarding
oral contraception, screening for sexually transmitted infections, and vaccination for
the human papillomavirus (HPV).
Menarche had occurred at the age of 13 years, and menses had been monthly and
regular. She had been sexually active since the age of 21 and had had 18 male
partners, most of whom had had other sexual partners, and she had no history of
sexually transmitted infections or pelvic infections. She had used oral contraceptives
for 3 months, when she first became sexually active, and reported consistent condom
use f
seen in the gynecology clinic of this hospital because of a high-grade squamous intraepithelial
lesion seen on pathological examination of a Papanicolaou (Pap) smear.
Four weeks earlier, the patient had come to the adolescent and young adult
medicine clinic of this hospital to establish care and to receive counseling regarding
oral contraception, screening for sexually transmitted infections, and vaccination for
the human papillomavirus (HPV).
Menarche had occurred at the age of 13 years, and menses had been monthly and
regular. She had been sexually active since the age of 21 and had had 18 male
partners, most of whom had had other sexual partners, and she had no history of
sexually transmitted infections or pelvic infections. She had used oral contraceptives
for 3 months, when she first became sexually active, and reported consistent condom
use f
Naana Afua患病Jumah(学生,哈佛医学院):23岁的女人看见这个医院妇产科的高档鳞状上皮病变病理学检查的Papanicolaou(Pap)污迹。
4周后,患者的青春期和成年
这家医院的临床医学和建立护理咨询相关口服避孕药,筛选性传播感染,接种疫苗的人乳头瘤病毒(HPV)。
月经初潮年龄也出现在了13年,月经一直每月和规则。她已经有性活跃自21岁的男性伴侣,有18个,其中大部分有其他的性伴侣,她没有性传播感染或骨盆感染。她曾使用口服避孕药为3个月,当她开始有性活跃,并报告一致的安全套的使用对于避孕药和防止性传播感染,
除了在三次。物理和妇科检查20个月
早些时候已经正常;巴氏涂片是正常的,与颈管内膜细胞的礼物。测试为淋病、衣原体颈分泌物是消极的。5个月后,病毒的生殖器、文化血清学测试的单纯疱疹病毒(HSV)1型和2型糖尿病的抗体免疫球蛋白和IgM是消极的。3个月前该评估,她一直在紧急情况
这家医院的部门可能意外过量服用对乙酰氨基酚,她一直在为口腔疼痛。服用对乙酰氨基酚的含量是血
每公升25.9毫克(参考范围,10 - 25;毒性水平、>);三级数小时后是正常的。她被教导正确剂量的药物和出院了。她有多个典型的痣,两种以前曾报道显示表皮发育异常的变化。她有一个腺样体切除术10岁的时候。病人在办公室工作、生活和室友。她一直没有健康保险的大学毕业以来1年前。她喝了5到10酒精饮料2至3天期间,包括每周性交,
报告及停电时,她曾吸食大麻的喝了几次在过去,不吸烟。她的母亲有白癫风和酗酒;她的父亲和两个姐妹有不规则的痣。无家族史的凝血或妇科癌症。她是过敏