Page 36 - 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:


                                                                                      CONSTITUTIONAL SIGNS AND SYMPTOMS
                                                                                      fatigue  • fever  • generalized weakness  • involuntary weight loss  • malaise  •
             2.1   NORMAL SEXUAL DEVELOPMENT, ABNORMALITIES AND                       night sweats  • pallor
                 DELAYS OF SEXUAL MATURATION
             2.2   AGING MILESTONES                                                   PHYSICAL EXAM FINDINGS
             2.3   DEVELOPMENTAL DELAY                                                bimanual ovarian and uterine palpation  • external genitalia inspection and
                                                                                      palpation  • gynecological speculum exam  • Leopold maneuvers
             2.4   CONGENITAL ANOMALIES, MALFORMATIONS, PRIMARY AND
                 ACQUIRED IMMUNODEFICIENCY DISORDERS                                  manual cervical checks in labor  • premature sexual maturation  • symphysis
             2.5   FAILURE TO THRIVE                                                  fundal heights  • Tanner stages of sexual maturation  • testicular and palpatory
                                                                                      exam
             2.6   INFERTILITY
             2.7   PREGNANCY PREVENTION AND CONTRACEPTION
                                                                                      LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
             2.8   NORMAL OBSTETRICS, LABOR AND DELIVERY                              abnormal serum testosterone levels, estrogen levels, serum FSH levels  • β-HCG

             2.9   PREGNANCY COMPLICATIONS                                            levels  • bilirubin, total serum and conjugated  • bone density studies, bone age
                                                                                      measurements  • cervical culture and sensitivity  • computed tomography
             2.10  PREGNANCY LOSS
                                                                                      imaging  • DHEA-S levels  • genetic screening in pregnancy  • gestational
             2.11  NEONATAL CONDITIONS
                                                                                      diabetes screening  • gram stains  • hemoglobin electrophoresis  • magnetic
             2.12 IMPAIRMENT OF SEXUAL FUNCTION
                                                                                      resonance imaging  • newborn blood-screening tests  • Pap smear
             2.13  PHYSICAL EXAM FINDINGS RELATED TO HUMAN                            prenatal lab panels  • radiography  • semen analysis  • sonography including
                 DEVELOPMENT, REPRODUCTION, AND SEXUALITY
                                                                                      obstetric ultrasounds
             2.14  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO HUMAN DEVELOPMENT, REPRODUCTION, AND
                 SEXUALITY







        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 2    PAGE 35
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