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Subjective
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chief complaint of ingrown nail on
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boarder(s) of the
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toe of the
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Had this for approximately?
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Insidious/Sudden?
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Onset
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toe which has had some
• • •
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Previous Episode:Denies
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Previous Episode:Comments
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Previous Treatment:
• • •
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Precipitating Event:
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Past Medical History:
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OBJECTIVE:
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Dorsalis pedis and posterior tibial pulses
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Which Side
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Capillary filling time
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Which Side
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Temperature, Texture, Turgor is
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Evidence of ischemic skin changes?
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Which Side
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incurvated nail boarder along the
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boarder(s) of the
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side of the toe?
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There is
• • •
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pain with palpation.
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ASSESSMENT:
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ASSESSMENT:
• • •
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Plan
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Office Visit New Patient (Level 2)
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Discussed Dx and Tx alternatives.
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Decision for surgery was made today.
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phenol & CO2 laser matrixectomy was performed
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cc of ethyl chloride and local anesthesia/
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which toe?
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Which Side?
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area was first prepped with Betadine?
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tournicot was applied, and the?
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which toe?
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Which Side?
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Area was inspected for spicules/none were found?
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comments
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Phenol was then applied
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comments
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flushed with alcohol and sterile saline.
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comments
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ablation and cauterization was performed?
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comments
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The tourniquet was released
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comments
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cleansed and Amerigel ointment was applied.
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comments
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adaptic and gauze was applied
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comments
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Postop instructions were given
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comments
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Amerigel postop surgical kit.
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Matrixectomy
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comments
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Return appointment in
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