Problem:
Revise and write as a statement: History of Present Illness/Issue: Patient reports feeling good since last visit. Recent labs showed no diabetes (A1C 5.3%), normal kidney and liver function, negative celiac disease. Noted to have very low vitamin D levels. Cholesterol mildly elevated. Interested in starting birth control; previously used Ortho-Tri-Cyclen pill a couple of years ago. Last menstrual period started today. Recently saw a gastroenterologist who recommended stool tests and colonoscopy. Currently on sertraline; not seeing behavioral health provider currently. Medical History: Anxiety and depression (implied by sertraline use and referral request). Family History: Not mentioned in transcript. Surgical History: Not mentioned in transcript. Immunizations: Not mentioned in transcript. Medications and Supplements: Sertraline (dose not specified). Request for refill of Citrulline. No current vitamin D supplementation. Allergies: Not mentioned in transcript. Review of Systems (ROS): General: Feeling good. Gastrointestinal: Undergoing evaluation by gastroenterologist; stool tests and colonoscopy planned. Psychiatric: Anxiety and depression managed with sertraline; no current behavioral health follow-up. Gynecologic: Menstrual period started today. Social History: Not detailed in transcript. Review of Systems 1. Constitutional No chills No fatigue No fever. Need Assignment Help?