Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected

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Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected

Chief complaint: “I am here for my annual physical exam and have been having vaginal discharge.” History of Present illness: 32-year-old pregnant lesbian – her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. Drug Hx: Current Meds: prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion Family history: She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. General: No fatigue, fever, or chills. Neck: No pain or injury Integumentary: multiple piercings, and tattoos. Old scars related to “cutting” PE: B/P 128/76; Pulse 83; RR 16; Temp 99.0; Ht 5,6; wt 128; BMI 20.98 HEENT: Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip. Lungs: CTA AP

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