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Subjective
Presents today for treatment of
• • •
on which feet
Patient is
PMH:
Objective
Dorsalis pedis pulses are- Left
Right
tibial pulses are graded at- Left
Right
Digital hair growth is- Left
Right
CFT with the leg elevated- left
Right
Temperature,texture and turgor is- Right
• • •
Temperature,texture and turgor is- Left
• • •
The patient's toenail(s) are- Left Foot
• • •
on which toe of the left foot?
• • •
The patient's toenail(s) are- Right Foot
• • •
on which toe of the right foot?
• • •
elongated nails - Times?
keratoma- Right
• • •
Comments
keratoma- left
• • •
Comments
Assessment
Patient is at risk
• • •
Pt has
• • •
Plan
Initial Office Visit and examination
Plan
• • •
Debride Hyperkeratotic Lesions?
Debridement of mycotic Toenails
Trimming of toenails
Comments
Return appointment in
Comments

At Risk Footcare Medical Form

Podiatrist

There are 6 copies in use.
Published: May 18, 2015, 12:17 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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