Patient presents with a vaginal lesion.  Chief complaint includes (insert chief complaint, e.g., vaginal pain, bleeding, discharge, itching, burning, or asymptomatic).  Location of the lesion is described as (insert location, e.g., anterior wall, posterior wall, cervix, labia).  Lesion characteristics include (insert characteristics, e.g., size in centimeters, color, shape, texture, ulcerated, raised, flat, etc.).  Associated symptoms include (insert associated symptoms, e.g., dyspareunia, postcoital bleeding, malodorous discharge, pelvic pain).  Patient's gynecological history includes (insert relevant gynecological history, e.g., gravida, para, abortions, sexually transmitted infections, previous abnormal Pap smears, surgeries, hormonal therapies).  Relevant medical history includes (insert relevant medical history, e.g., diabetes, immunosuppression, autoimmune disorders, recent infections).  Current medications include (list current medications).  Allergies include (list allergies).  Physical examination reveals (describe findings, e.g., single lesion, multiple lesions, size, color, location, discharge, tenderness, inguinal lymphadenopathy).  Differential diagnosis includes (list differential diagnoses, e.g.,  Bartholin's cyst, vaginal cyst, Gartner's duct cyst, condyloma, herpes simplex virus, syphilis, vulvar intraepithelial neoplasia, vaginal cancer).  Plan includes (describe plan, e.g.,  vaginal swab for wet mount microscopy, STI testing for gonorrhea, chlamydia, syphilis, HIV, HPV typing, biopsy, colposcopy, referral to gynecology, pain management, topical or oral medications).  Patient education provided regarding (describe patient education, e.g.,  follow up appointment, medication instructions, hygiene recommendations, safe sex practices, potential complications).  Follow-up scheduled for (insert date and time).