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Subjective:
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CC
• • •
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CC (Additional)
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Present on the
• • •
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Side (foot)
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HPI: Duration of skin lesion(s)
• • •
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Onset
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Nature
• • •
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Previous Treatment
• • •
|
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Previous Episode: Denies
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Previous Episode ___ years ago
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PMH
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Objective:
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VASCULAR: Dorsalis pedis pulses (right)
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VASCULAR: Dorsalis pedis pulses (left)
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Posterior tibial pulses (right)
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Posterior tibial pulses (left)
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Digital hair growth (right)
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Digital hair growth (left)
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CFT (leg) elevated at distal hallux (right)
• • •
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CFT (leg) elevated at distal hallux (left)
• • •
|
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Evidence of ischemic skin changes?
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Temperature, Texture, Turgor is
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DERM: Patient has skin lesion(s) on
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The lesions are
• • •
|
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There is pain with b/l compression of the lesion
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|
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Assessment:
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Benign Skin Lesion
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Benign Skin Lesion
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Probable Verruca times number of warts lesion(s)
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Probable Verruca times number of warts lesion(s)
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Plan:
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|
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Office Visit - New Patient (Level 3)
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Office Visit - Est. Patient (Level 3)
|
|
Discussed with patient diagnosis and treatment a
|
The area was
• • •
|
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cc of a 1:1 mix of 2% Lidocaine
• • •
|
with
• • •
|
|
0.5% Marcaine plain in form
• • •
|
to the
• • •
|
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Side (foot)
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|
|
Once anesthesia was accomplished the
|
was prepped with betadine
|
|
Excisional biopsy was performed X
• • •
|
lesions of the__foot
|
|
Curretage of the base was then performed
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followed by ablation & cauterization of the area
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A Silvadene compressive dressing with padding
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Dispensed to patient additional pads
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Keep dressing dry and intact for the next 3 days
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Perform normal bathing after 3 days
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Apply Silvadene cream
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with pad and band aid to wound
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Repeat daily
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Return appointment in
|
