PLEASE FOLLOW THE RUBRIC! Supported by at least 3 current, credible sources within the last 5 years Many students lose points on the following example. Say you want to reference the CDC.   Many will put (CDC, 2012).   That is great however for the first citation you want as follows: (Centers for Disease Control [CDC], 2012).    Use the Focused SOAP Note Template found in the Learning Resources to support Discussion. Based on the case study scenario provided, complete a comprehensive well-woman exam and critically analyze to focus attention on the diagnostic tests then, Post your differential diagnosis. Include the additional questions you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns and include your rationale. Be specific and provide examples. Use your Learning Resources and/or evidence from the literature to support your explanations. Case Study: Contraception Scenario 1 Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your clinic today to discuss contraceptive options.  She states that she is not interested in having more children but her new partner has never fathered a child. Her medical history is remarkable for exercise-induced asthma, migraines, and IBS. Her surgical history is remarkable only for tonsils as a child. Her social history is negative for alcohol, tobacco, and recreational drugs.  She has no known drug allergies and takes only vitamin C. Hospitalizations were only for childbirth. Family history reveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceased due to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell). Elaine has one older sister with no medical problems and one younger brother with no reported medical problems.  Height 5’ 7” Weight 148 (BMI 23.1), BP 118/72 P 68  HEENT:  wnl  Neck: supple without adenopathy  Lungs/CV: wnl  Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge  Abd: soft, +BS, no tenderness  VVBSU: wnl, except 1st degree cystocele  Cervix: firm, smooth, parous, without CMT  Uterus: RV, mobile, non-tender, approximately 10 cm,  Adnexa: without masses or tenderness  QUESTION: What other information do you need?  MORE QUESTIONS: What has she used in the past?  Why did she stop a method?  How many partners in past 12 months?  What are her current cycles like?  When was her last gyn exam and what were the results of the tests?   Are her migraines with or without auras?  What method has she considered.    In further questioning, you ask her about her migraines. She shares that these migraines occur just before her period, or when she’s stressed, and are preceded by a vision change in her right eye. She takes Excedrin Migraine for them and rests in a dark room until the migraine is done.  She has heard about a pill where she will only get her period four times a year and feels now that she’s older she can remember to take the pill daily and plans on putting a reminder in her phone.  QUESTIONS: What are your next steps/considerations?  What teaching should you do?  What methods are appropriate for Elaine?