History and Physical (Medicine)

General Data: 28 year old lady, Asian



CC: boredom and looking for adventure and major life change



History of Present Illness:

The subject (aka patient) is a 28 year old lady with no known preexisting medical conditions, who is upon after finishing medical school found herself 'lost' and cannot seem to find herself. There is no associated internal conflicts whatsoever except for occasional bouts of laziness and feelings of wanting to become a bum but at baseline she is the type who wants to keep herself busy with various activities. She then found herself jumping from 1 job to the next landing 12 different jobs in three months for which she found herself just reporting for work for 2-3 days and then not going back again. She later then found herself just going to the mall, the gym, spa and coffee shops. She then later relaized that 'this can't go on forever', hence the dilemma and the need for a solution.



Past Medical History
unremarkable and noncontributory
health buff at heart but does not work out much, loves to walk
no history of mental illness

no PMD



Personal and Social History

nonsmoker

occasional alcoholic beverage drinker

denies and is strongly against illicit drug use

certified coffee addict
certified shopaholic

nerd (not evident at first glance)

naive at times



Patient is from the very large continent of Asia. Can speak English (no Cyaracom interpreter needed). Single, no children. Currently employed and finished some post graduate studies.



Review of Systems:

(+) anorexia

no loss of appetite

(+) occasional headaches

(+) occasional sleep disturbance

(+) occasional malaise

Family History
noncontributory

Physical Examination
Alert female, in no apparent distress, appears 'younger than state age' (ahemm...)
VS: stable
HEENT: WNL
Heart and Lung: WNL
Abdomen: NABS, soft, nontender
Ext: No edema, no cyanosis

Assessment/Plans
A 28 year old lady who has a very minor dilemma of not knowing what to do after finishing medical school. She was contemplating on whether to stay in her country and proceed with residency training or go somewhere else where she could also do residency. Other problems to consider are what program to finally take.
Plan: Go to the United States
Take the MLEs
Apply and start residency and at the same time live the life she wants and the lifestyle she wants.