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Ingrown Toenail
Aug 13, 2012
•
Mark Morgan
categories:
Procedure Note
Ingrown Toenail Procedure
Subjective
Objective
Assessment/Plan
Subjective: The history was provided by
. Patient has had
days of pain at
left
right
bilateral
great toe. Margin of nail affected
medial
lateral
both
. Swelling
is
is not
present. Drainage
is
is not
present. Patient
has
does not have
prior history of ingrown nails. Patient
has
does not have
diabetes mellitus.
other details...
Objective:
Left
Right
Bilateral
great toenail is painful over the
medial
lateral
both
margin. There is
purulent
serous
bloody
no
drainage. There is
swelling
inflammation
obvious infection
erythema
no swelling or erythema
. Range of motion of the toe is
normal
reduced
other details...
Assessment/Plan: Ingrown toenail
left
right
bilateral
.
Antibiotics.
Phenol-Alcohol procedure, see procedure note.
Instructed in appropriate nail care.
Soak in warm water 20-30 minutes twice a day.
Follow up if new, worsening, or persisting symptoms.
other details...
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