Diabetes foot exams

Procedure Checklist, Procedure Notes

Last foot exam was: Consent was obtained and the procedure explained. Adequate exposure of entire legs was done. Visual inspection: Gen inspection reveals no missing limb, toes. Normal limb color (no erythema or pallor). On close examination, no hair loss (e.g. from...

IUD (Intrauterine Device) Insertion Procedure Note

Procedure Notes

Procedure Name: IUD placement Indication: Patient desires long-term, reversible contraception. Pre-Procedure Diagnosis: Post-Procedure Diagnosis: Same Informed consent: Procedure, alternate treatment options, risks, and benefits were thoroughly explained to the...

Laceration Repair Procedure Note

Procedure Notes

Procedure Name: Laceration Repair Indication: Reduce risk of infection Location: __________________ Pre-Procedure Diagnosis: Laceration Post-Procedure Diagnosis: Repaired Laceration Informed consent was obtained before procedure started. PROCEDURE: The appropriate...

Nexplanon Insertion Procedure Note

Procedure Notes

PRE-OP DIAGNOSIS: Patient desires long-term, reversible contraception. POST-OP DIAGNOSIS: Same PROCEDURE: Nexplanon placement Performing Physician: Supervising Physician: PROCEDURE: -Written and verbal informed consent obtained, risks discussed included: bleeding,...

Excision Biopsy Note

Procedure Notes

Procedure Name: Excision Indication: Pain, risk of infection Location: *** Pre-Procedure Diagnosis: *** Post-Procedure Diagnosis: ***, removed Informed consent: Procedure, alternate treatment options, risks, and benefits were thoroughly explained to the patient and...

Skin Tag Removal

Procedure Checklist, Procedure Notes

Equipment: -Forceps -Scissors -Lidocaine w/ or w/o epi -1ml syringe, -25 G needle x 2 -Alcohol swaps Skin tag on the neck. I used lidocaine with epi. Injected it below the skin tag and formed a wheal that lifted the skin tag off. I simply used the scissors to cut off...