,PHYSICAL EXAM:,  Patient is a 19 year old female who appears pleasant, in no apparent distress, her given age, well developed, well nourished and with good attention to hygiene and body habitus. 
,PHYSICAL EXAM : , Patient is a 19 year old female who appears pleasant , in no apparent distress , her given age , well developed , well nourished and with good attention to hygiene and body habitus .