Michelle Hurley

 2021-08-22 1:7 
 10856932537 
 HEWITT ADMIN DEPT 
 PAGE 0/19 
 PATIENT NAME: 
 Michelle Hurley 
 MRN: 25-766919 
 Encounter: 
 2018-11-03 11:15AM 
 Physical Exam 
 GENERAL: Patient in no acute distress. Tcarful throughout 
 HEENT: PERRLA, EOMI,conjunctiva normal, TMs normal, oropharynx clear 
 NECK: supple, no lymphadenopathy, normal thyroid. 
 LUNGS: Clear to auscultation bilaterally. 
 HEART: RRR, no murmurs. 
 ABDOMEN: soft, non-tender, without hepato-splenomegaly. 
 EXTREMITIES: No edema 
 NEUROLOGIC: Alert and oriented, grossly intact. 
 Assessment 
 Acute stress disorder (308.3) 
 Plan 
 As SX are work related, d/w pt eval by wep as well but she states that they have not helped her in the past 
 Advise 1 mo off work due to high stress at work 
 SSRI and psychotx d/w pt 
 She wishes to hold off starting SSRI at this time, but agrees to psychotx 
 Advise weekly or more tx in the first mo 
 f/u 1 mo or pm. 
 Signature 
 electronically signed by : Dr Danielle Mckenzie MD; 2016-08-21 12:12 PM PST; Author. 
 2 of 2 
 MRN: 25-651409 
 2-3-2014 
 2013252242 
 44201503339017520 
 SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. 
 [6676691-01] 145
