Page 35 - Master Blueprint 2018 - 2019
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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:


                                                                                      assessment • intellectual disability • jaundice/hyperbilirubinemia in the newborn
                                                                                      • labor and delivery • lactation • language and social impairment (eg, autism
             2.1   NORMAL SEXUAL DEVELOPMENT, ABNORMALITIES AND                       spectrum disorder and related entities) • large for gestational age • learning
                 DELAYS OF SEXUAL MATURATION
                                                                                      difficulties (eg, dyslexia, attention deficit hyperactivity disorder) • maternal
             2.2   AGING MILESTONES
                                                                                      substance abuse–maternal and neonatal complications • menarche •
             2.3   DEVELOPMENTAL DELAY                                                menopause • metabolic disturbances (eg, hypoglycemia, hypothyroidism) •

             2.4   CONGENITAL ANOMALIES, MALFORMATIONS, PRIMARY AND                   molar pregnancy (hydatidiform) • multiple gestation • neonatal sepsis •
                 ACQUIRED IMMUNODEFICIENCY DISORDERS                                  oligo/polyhydramnios • pelvic adhesions • physiologic changes of pregnancy •
             2.5   FAILURE TO THRIVE                                                  placenta previa, accreta, marginatum • placental insufficiency • polycystic
                                                                                      ovarian syndrome • postpartum care • postpartum hemorrhage • precocious
             2.6   INFERTILITY
                                                                                      puberty • preconception counseling • preeclampsia • pregnancy loss •
             2.7   PREGNANCY PREVENTION AND CONTRACEPTION
                                                                                      premature newborn • premature rupture of membranes • premature sexual
             2.8   NORMAL OBSTETRICS, LABOR AND DELIVERY
                                                                                      maturation • prenatal counseling • preterm infant complications (eg, patent
             2.9   PREGNANCY COMPLICATIONS                                            ductus, necrotizing enterocolitis, retinopathy of prematurity • preterm labor •
                                                                                      primary ovarian failure • protein-energy malnutrition • psychosocial or medical
             2.10  PREGNANCY LOSS
                                                                                      illnesses or situations (eg, neglect) • recurrent pregnancy loss • respiratory
             2.11  NEONATAL CONDITIONS
                                                                                      distress of the newborn (eg, meconium aspiration, transient tachypnea) • Rh
             2.12 IMPAIRMENT OF SEXUAL FUNCTION
                                                                                      isoimmunization/compatibility • rupture of membranes • sexual development •
             2.13  PHYSICAL EXAM FINDINGS RELATED TO HUMAN                            sexual dysfunction, male or female (e.g. vaginismus, vaginal dryness, erectile
                 DEVELOPMENT, REPRODUCTION, AND SEXUALITY
                                                                                      dysfunction, priapism, painful intercourse), reduced or absent desire, arousal,
             2.14  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING                    orgasm • small for gestational age/intrauterine fetal growth restriction or
                 RELATED TO HUMAN DEVELOPMENT, REPRODUCTION, AND
                 SEXUALITY                                                            discrepancies • spermatocele • testicular cancer • uterine rupture • viral
                                                                                      infections (eg, TORCH infections) • virilization


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