SUBJECTIVE: 27-year-old Asian female ambulatory to clinic in no acute distress. Complaining of back pain. She wanted to apply for another job but failed to follow up on all her applications to other companies. She also complains of recurrent problems with constipation, especially over the last two weeks. She has been using Immodium. This tends to give her runny stools for a day and then she has constipation again the next day. This was not helpful. Social: She is a nonsmoker. Family history: His father does have some mild arthritis and also has hypertension and heart disease.
OBJECTIVE: She is a well-nourished, well-developed, Asian female in no acute distress. She appears somewhat sad and tearful. HEENT: Tympanic membranes were clear bilaterally. Throat was clear. Neck was supple. Lungs: Clear to auscultation. Cardiovascular: Regular rate and rhythm without murmur. Abdomen: Soft and diffusely tender to a mild degree.
ASSESSMENT:
1. Stressed out.
2. Not happy.
3. Constipation.
4. Needs a new job.
PLAN:
1. Go out this Saturday.
2. Do whatever you want to do
3. Follow up previous job applications with employers.
4. Try your luck to more companies.
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