nurse is preparing to discharge a child who has a

Chief Complaint: “I’m here for my routine physical but I have a spot on my back that I’d like the nurse practitioner to look at.” History of Present Illness: A 61-year-old Caucasian female presents to the community health clinic for a routine physical examination. During the exam, she asks you to look at a “spot” on her back that has been present “for years”. Reports lesion occasionally itches and sometimes bleeds after scratching. She is unsure if she has noticed a change in the size or color. States it is difficult to visualize due to the location on her back. Not painful or itchy. What additional (subjective data) questions would you like to ask about her review of systems and health history?

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