mamacase1
Expert
My doctor is a family practice doctor that had a patient come in post 2 days delivery. Dictation says pt is here for check status post delivery. She did have a vaginal delivery 2 days ago and felt like stitches tore here recently. Exam : There is no active bleeding. On the posterior fornix there is a samll are that is open a little bit but tissues are staying cloased and I do not see this is an open wound.
DX: Recheck status post delivery with torn episiotomy
At this point in time no fruther treatment will recheck in about a week to see houw this is doing.
I would of thought that she would have followed up with her OB/GYN but since she didnt how would you colde this. ICD9?
DX: Recheck status post delivery with torn episiotomy
At this point in time no fruther treatment will recheck in about a week to see houw this is doing.
I would of thought that she would have followed up with her OB/GYN but since she didnt how would you colde this. ICD9?