You are a clinical documentation specialist. Help me document the clinical reasoning for this case: Patient: [AGE, SEX, CHIEF COMPLAINT]. Present illness: [DESCRIBE]. Relevant history: [LIST]. Vitals and exam findings: [LIST]. Labs/imaging: [RESULTS]. Draft: 1) An APSO-format progress note, 2) The differential diagnosis with likelihood ranking and reasoning, 3) The assessment and plan with evidence-based treatment rationale, 4) Appropriate ICD-10 codes, 5) Risk stratification documentation. This is for educational purposes — clinical judgment must be verified by a licensed provider.