dballard2004
True Blue
one week ago had sutures placed at urgent care center-right forearm. Denies any problems. States he injured himself when he was working on a weekend project in his garage, cut self on piece of metal.
-Recent antibiotic use: none
-Associated signs and symptoms: denies any problems
This is HPI for a recent suture removal. Maybe I am having a senior moment here, but I get location, duration, and associated signs and symptoms. Is there any other element that I am overlooking?
Also, the provider documents social and family history here. The social history is smoking and excercise history. The family history are things like HTN, DM. Is that really clinically relevant to have a social and family history like this for a suture removal? I think not, but am I missing the boat here?
TIA.
-Recent antibiotic use: none
-Associated signs and symptoms: denies any problems
This is HPI for a recent suture removal. Maybe I am having a senior moment here, but I get location, duration, and associated signs and symptoms. Is there any other element that I am overlooking?
Also, the provider documents social and family history here. The social history is smoking and excercise history. The family history are things like HTN, DM. Is that really clinically relevant to have a social and family history like this for a suture removal? I think not, but am I missing the boat here?
TIA.