Summary FPX 4610 Assessment 1 Progress Note
Instructions Review the progress note below, including the subjective and objective notations Next downl d the Skin Progress Note Template [DOCX] and complete all of the following on th~ template: oa • Select 15 medical terms from the progress note. • Translate the 15 selected medical terms Into commonly used terms. • Cite in correct • Spell the 15 medical and common tenns correctly. style t~e references you used to perform your translation. Click Evidence and APA for additional guidance on how to ensure your citations and references conform to APA guidelines. Skin Progress Note Subjective: The patient is a 49-year-old female who comes in with the complaint of having bumps on her anns. She states some of the bumps have been there a long time. Recently the bumps have been increasing in number and size. She was last seen about two years ago for eczema, at which time she did not have these bumps. The bumps are not itchy or painful. Objective: Very pleasant, alert, and oriented x3 female in no apparent distress. A full integumentary exam of the upper extremities was performed today. The left radial aspect demonstrated erythematous macules. The right ulnar aspect demonstrated actinic keratosis. Bilateral hands appeared dry with linear excoriation and fissuring of her fingertips. Bilateral upper anns demonstrated superficial and deep masses. Deep subcutaneous masses are mobile and may represent lipomas. Superficial masses appear to be sebaceous cysts. Assessment and Plan: 1. Actinic keratosis of the right ulnar aspect was treated with liquid nitrogen. 2. Possible lipomas: Schedule surgical biopsy of larger masses. 3. Sebaceous cysts: Punch biopsy performed today; await pathology report. Apply Neosporin to biopsy site. 4. Continue Cortisone 10 intensive cream for eczema.
Written for
- Institution
-
123 University
- Course
-
Nursing
Document information
- Uploaded on
- April 15, 2024
- Number of pages
- 6
- Written in
- 2023/2024
- Type
- Summary