Patient presents with complaints consistent with possible miscarriage (spontaneous abortion).  Presenting symptoms include vaginal bleeding, ranging from light spotting to heavy bleeding, accompanied by cramping or lower abdominal pain.  Onset of symptoms began [Date of symptom onset].  Patient reports [Number] weeks of gestation based on last menstrual period (LMP) of [Date of LMP].  Ultrasound examination reveals [Findings e.g., nonviable pregnancy, empty gestational sac, blighted ovum].  Differential diagnoses considered included ectopic pregnancy, threatened abortion, and incomplete abortion.  Beta-hCG levels were [Quantitative hCG levels] and trending [Upward, downward, or plateau].  Physical exam revealed [Describe cervical os, uterine tenderness, adnexal masses].  Assessment confirms diagnosis of complete miscarriage (early pregnancy loss).  Patient counseled on miscarriage management options, including expectant management, medical management with misoprostol, or surgical management with dilation and curettage (D C).  Risks and benefits of each option were discussed, and the patient elected [Chosen management option].  Patient provided with discharge instructions including follow-up care, warning signs of complications (e.g., hemorrhage, infection), and emotional support resources.  ICD-10 code O03.9, Spontaneous abortion, unspecified, assigned.  Follow-up appointment scheduled for [Date of follow-up].