Case 1 :

B.L. is a 27-year-old female who resides in Maywood.   She presents to your Woman's

Health Center with a black eye and eye pain after an altercation.   She was struck in her left eye by her live-in boyfriend of six months.   She denies any other trauma and states that the altercation began after an argument concerning money.   She has been to the Loyola E.R. twice in the past year for other skeletal and soft tissue injuries that occurred after arguments with her boyfriend.   She uses the E.R. for her medical care and has not seen a primary care physician since high school.

Medical History


1) Sickle Cell Trait with mild anemia
2) GC diagnosed at age 23

Meds:                None

Allergies:          Sulfa

Surgery:            None

Habits:               Smokes 1 ppd since age 16, social drinker on weekends

Denies use of street drugs at any time

Social:               Single, works as a manager in clothing store

Carries a handgun in car, does not wear seatbelts

Family:             Father, age 52, HTN & Sickle Cell Trait

Otherwise non-contributory

OB/Gyn:             G 1 P 0 A 1 , Last pap had CIN I - 3 years ago

Sexually active since age 16, 4 sex partners in last 2 years

Uses a spermicide for birth control

Vaccines:         None since high school, completed childhood series

Diet:                  Fast food for lunch and dinner

Exercise:           None regularly