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CLINICAL               2        PATIENT PRESENTATIONS RELATED TO HUMAN
          PRESENTATION
                                          DEVELOPMENT, REPRODUCTION, AND SEXUALITY




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


                                                                                      ABO incompatibility  • abortion – threatened, inevitable, missed, medical and
                                                                                      surgical (therapeutic), elective, spontaneous (miscarriage), complete, incomplete •
             2.1   NORMAL SEXUAL DEVELOPMENT, ABNORMALITIES AND                       abruptio placenta • ambiguous genitalia • androgen insensitivity • antepartum
                 DELAYS OF SEXUAL MATURATION
                                                                                      care • artificial nutrition and hydration • bacterial infections (eg, streptococcal,
             2.2   AGING MILESTONES
                                                                                      gonococcal) in obstetrics • biophysiologic profile • birth trauma • bleeding in
             2.3   DEVELOPMENTAL DELAY                                                pregnancy • bloody show • caloric consumption, adequate or inadequate •

             2.4   CONGENITAL ANOMALIES, MALFORMATIONS, PRIMARY AND                   cerebral palsy • cervical insufficiency • children with special needs •
                 ACQUIRED IMMUNODEFICIENCY DISORDERS                                  chromosomal abnormalities • congenital/genetic anomalies (eg, Down syndrome,
             2.5   FAILURE TO THRIVE                                                  cystic fibrosis, craniosynostosis), malformations, innate immune disorders, cellular
                                                                                      and antibody deficiencies • contraceptives – oral, injectable, implantable; vaginal
             2.6   INFERTILITY
                                                                                      rings and other barrier methods; abstinence and fertility awareness methods;
             2.7   PREGNANCY PREVENTION AND CONTRACEPTION
                                                                                      surgical methods (eg, tubal ligation, vasectomy) • developmental milestones,
             2.8   NORMAL OBSTETRICS, LABOR AND DELIVERY
                                                                                      physiologic, of normal infant, child, and adolescent and healthy aging of adult and
             2.9   PREGNANCY COMPLICATIONS                                            geriatric patients • developmental milestones, standard, including
                                                                                      social/emotional, language/communication, cognitive, fine/gross motor
             2.10  PREGNANCY LOSS
                                                                                      development • eclampsia • ectopic pregnancy • embryo harvesting, storage,
             2.11  NEONATAL CONDITIONS
                                                                                      and implantation • endometriosis • erectile dysfunction, priapism • failure to
             2.12 IMPAIRMENT OF SEXUAL FUNCTION
                                                                                      meet developmental milestones (eg, isolated domain delays, global domain
             2.13  PHYSICAL EXAM FINDINGS RELATED TO HUMAN                            delays) • failure to thrive, adult or child • fetal and neonatal infections, bacterial
                 DEVELOPMENT, REPRODUCTION, AND SEXUALITY
                                                                                      or viral (eg, antepartum, intrapartum, postpartum; pyelonephritis, cholecystitis,
             2.14  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING                    appendicitis) • fetal status indicators, reassuring and non-reassuring (eg, fetal
                 RELATED TO HUMAN DEVELOPMENT, REPRODUCTION, AND
                 SEXUALITY                                                            heart tone variability, decelerations) • gestational trophoblastic neoplasia •
                                                                                      glycogen storage disorders • HELLP syndrome • hydrocele • hypogonadism •
                                                                                      hypotonic infant • in vitro fertilization • induction of labor • infertility, male or
                                                                                      female, disorders of sperm production, motility, transport) • initial neonatal  


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 2    PAGE 33
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