Breast: Patient denies any pain, lump, nipple discharge, rash, history of breast disease, or any surgery on breasts. Patient denies performing breast self-examination.
Respiratory: Patient denies having history of lung diseases such as asthma, emphysema, bronchitis, pneumonia, or tuberculosis. She also denies having chest pain with breathing, wheezing or noise breathing, shortness of breath, hemoptysis, sputum, toxin or pollution exposure. Patient states that she had common cold with some productive cough for about a week last month. Also, patient states that occasionally she experiences shortness of breath when she runs for more than 40 minutes. Patient states that her last chest x-ray was 1 years ago, and the results were negative.…show more content… Patient denies any straining or discomfort on defecation. Patient denies having any recent change of bowel movements as, constipation, diarrhea, black stools, or rectal bleeding. She denies hemorrhoids, or fistula. Patient also denies using laxatives or antacids.
Urinary System: Patient states that she urinates about 4 times a day without urgency. She denies having nocturia, dysuria, polyuria or oliguria, hesitancy or straining, narrowed stream, inconsistence, or pain in flank groin, suprapubic region, or low back. She states that her urine is clear, and it does not present hematuria. In order to avoid urinary tract infections, she states that she drinks about three liters of water every day. She had a UTI at age 18.
Male Genital System: N/A
Female Genital System: No discharge, itching, sores, lumps. Patient had her menstruation was 2 weeks ago normal menstruation.
Peripheral Vascular: Patient denies any coldness, numbness or tingling, swelling of legs or arms, discoloration in hands or feet, varicose veins or complications, intermittent claudication, thrombophlebitis, or ulcers. She states that she crosses legs at the knees occasionally when long term sitting, and she does not wear support hose in these circumstances.
Musculoskeletal System: Patient denies having history of arthritis or gout. She also denies the presence of pain, stiffness, swelling, deformity, limitation of motion,