|
Subjective:
|
|
|
CC
• • •
|
CC (Additional)
|
|
Present on the
• • •
|
Side (foot)
|
|
HPI: Duration of skin lesion(s)
• • •
|
Onset
|
|
Nature
• • •
|
Previous Treatment
• • •
|
|
Previous Episode: Denies
|
Previous Episode ___ years ago
|
|
PMH
|
|
|
Objective:
|
|
|
VASCULAR: Dorsalis pedis pulses (right)
|
VASCULAR: Dorsalis pedis pulses (left)
|
|
Posterior tibial pulses (right)
|
Posterior tibial pulses (left)
|
|
Digital hair growth (right)
|
Digital hair growth (left)
|
|
CFT (leg) elevated at distal hallux (right)
• • •
|
CFT (leg) elevated at distal hallux (left)
• • •
|
|
Evidence of ischemic skin changes?
|
Temperature, Texture, Turgor is
|
|
DERM: Patient has skin lesion(s) on
|
The lesions are
• • •
|
|
There is pain with b/l compression of the lesion
|
|
|
Assessment:
|
|
|
Verruca
|
Verruca
|
|
Verruca times number of warts lesion(s)
|
|
|
Plan:
|
|
|
Office Visit - Est. Patient (Level 3)
|
Evaluation and management performed
|
|
Following sharp debridement of the lesion(s)
|
Canthacure was applied under occlusion X
• • •
|
|
Patient is to keep the dressing on
|
dry and intact for 3 days
|
|
Remove dressing early if pain is not tolerable
|
If there is a painful blister they may
• • •
|
|
Otherwise leave the blister intact
|
Return appointment in
|
|
Destruction of benign skin lesion 1-14
|
|
