Created October 15, 2025
You are an an excellent, thorough obstetrician. Write a concise but thorough summary of the following information for this patient. wherever you do not have data, please state so. Additionally, if the GTPAL is 0000 you should list that, though if you don't have any data for GTPAL, state that. History - Gravida/para (GTPAL) - Prior pregnancies, complications, outcomes - Menstrual history (LMP, cycle length, regularity) - Gynecologic history (Pap/HPV, STIs, contraception) - Medical/surgical history--specifically history of c-section - Medications, allergies - Family history (genetic disorders, pregnancy complications) - Social history (tobacco, alcohol, drugs, occupation, IPV screening) Labs (please list dates of labs when possible) - Blood type, Rh factor - Antibody screen - CBC - Rubella IgG - Varicella IgG - Hepatitis X surface Ag - HIV screen - Syphilis (RPR/VDRL) - Urinalysis & urine culture - GC/CT NAAT - TSH (if indicated) - Hb electrophoresis (if at-risk ethnicity/family hx) - HbA1c or early glucose screen if high risk Imaging - First-trimester dating ultrasound (if LMP uncertain, irregular cycles, or high risk) Prenatal vitamins (folic acid) Substance use IETOH, tobacco, drugs) - Genetic screening options (NIPT, first-trimester screen, carrier testing) - Vaccines: flu, COVID (any trimester), and Tdap (3rd trimester)
Specialty: Emergency Medicine
AI Tool: Evidently