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Graph Note 4. 2

Comes to the office today for Botox treatments. He contains a very significant and alternatively severe left-sided hemifacial spasm.

Informed agreement was obtained from the patient. Below sterile circumstances, he received a total of 78. 75 units of Botox. Location and dosages of shots are recorded on his shot form. He tolerated these kinds of well. Simply no complications were noted. He will probably follow up in 3 months the moment further injections are required. He is to call work in 14 days and let all of us know how well he is performing. If during that time he needs a touchup in the injections, we all certainly will move forward from there.

I did tell the sufferer that the first-time someone can be injected, it truly is somewhat challenging to know the precise dose. We must try a dose-response curve with him while using injections. Overall we should be able to get someplace in the variety of 90% comfort of the hemifacial spasm.

Urgent Department Be aware 4. a few

This is a 21-year-old female patient who have presents for the emergency office complaining of experiencing been shown aggression towards while the lady was at job 2 times ago. Patient reports a client bit her around the right upper arm while they were aiming to sit him up in a chair for lunch. The patient studies that the skin area was cracked.

She denies any fever, nausea, vomiting, neck soreness, back pain, or perhaps abdominal pain.

Vital indications: Temperature thirty eight. 5, pulse 90, respirations 18, stress 113/64. She actually is alert and oriented. Zero acute distress.

Patient reviews that she has completed the hepatitis W vaccination series.

On physical exam, patient's right uppr arm provides small superficial abrasions. There may be minimal bumps. There are zero signs of disease at this time, forty eight hours after.

Patient was handed a tetanus shot, and after discussion, intended for patient's privacy reasons and due to low risk of this event, she will follow up with the health centre where the girl gets her medical care pertaining to an HIV test and hepatitis titer another day. She will come back for any problems or issues. She was handed aftercare teaching sheets for wound proper care.


Correct upper provide human nip.

Chart Be aware 4. 4

The patient acquired basal cell carcinoma in the lip. The patient has basal cellular nevus syndrome and varieties numerous skin cancers. Because of the location and nature of her symptoms, maximum maintenance of usual tissue and complete eradication are suggested and finest accomplished with the Mohs strategy.

Chart Be aware 4. 6th


The patient is here to get open injury of the right lower extremity. Patient considers this area can be healed. There is not any redness or discomfort. There is no draining. There has been little swelling.


Elderly girl. No acute distress. Stress 130/70. Skin area warm and dry. Correct lower extremity with just trace edema. No cyanosis. Open injury of the correct shin, preliminar distal lower leg, appears epithelialized. There is no tenderness, no exudate, no encircling erythema.


This is an elderly girl who had suffered an injury to the right reduced extremity which includes now epithelialized. The patient is definitely hereby released from our treatment. She is urged to keep the spot off-loaded, safeguard the local region, elevate whenever possible to help control the limited edema she does have, and return to this kind of clinic if there are any kind of future problems.


1 . Open wound of the right lower extremity, challenging, healed. Edema. 2 . Discoid lupus.

DATA NOTE some. 7

Presents pertaining to routine proper care of elongated fingernails or toenails. Pertinent medical history: Parkinson's disease.

Observed elongated nails with hammer digits, the 2nd and 3rd feet, right ft .. Callus around the distal aspect of 2nd and 3rd, correct. Elongated, thickened nails x10. No additional problems noted. Neurovascular position intact. Temperatures normal.




Aseptic debridement of clavi. Debridement of nails by 10. Individual to return in 10 weeks.

Chart Notice 5. you

This 67-year-old Native...