Her medical history is unremarkable. Her review of systems reveals that she runs 8 to 10 miles per week. Skin reveals no obvious hirsutism or acne. Neck is without thyromegaly or adenopathy. Chest is clear to both percussion and auscultation.
Heart is regular without murmurs, rubs, or gallops.
Breasts are without masses, tenderness, or discharge. Abdomen reveals no organomegaly, masses or tenderness. Extremities are normal. Neurologic is physiologic. Rectovaginal exam is normal.