MRS

MRS. BRONTE IS AN ESTABLISHED PATIENT WHO WAS SEEN FOR COMPLAINTS OF EXCESSIVES MENSES, TIREDNESS, AND TEARFULNESS. SHE STATES HER MENSTRUATION HAS BECOME IRREGULAR AS COMPARED WITH THE PAST. SHE HAS HAD 12 CONSECUTIVE DAYS OF HEAVY BLEEDING, WITH NO SIGNS OF DECREASE. SHE REPORTS FEELING MORE TIRED THAN USUAL WITH NO NEW STRESSORS NOR INCREASED FEEILNGS OF DEPRESSION. SHE IS ALSO SEEING TAMMY TITUS FOR PSYCHOTHERAPY, WHICH SHE STATES IS VERY HELPFUL. THE MEDICATIONS ARE ALSO VERY HELPFUL TO HER, AND SHE IS FEELING MUCH LESS DEPRESSED. I EXPLAINED TO HER THAT SHE IS GOING THROUGH EARLY MENOPAUSE. WE WILL ORDER LAB WORK TO CHECK ESTROGEN LEVELS AND FOLLICLE STIMULATING HORMONE LEVELS. THE PATIENT IS INACTIVE SEXUALLY AND DOES NOT WORRY ABOUT GETTING PREGNANT, IN VIEW OF TAKING MEDICATIONS. SHE IS ALERT ORIENTEDx3, NO ABNORMALITIES FO THOUGHT CONTENT OR THOUGHT PROCESS. SHE STATES THAT SHE HAS NEVER HAD ANY SUICIDAL THOUGHTS. RETURN FOR RECHECK IN 1 MONTH. CODE USING ICD-10-CM AND CPT