Medical Transcription

Chart Note 4.2 Comes to the office today for Botox injections. He has a very significant and rather severe left-sided hemifacial spasm. Informed react was obtained from the forbearing. Under sterile conditions, he received a total of 78.75 units of Botox. locating and dosages of injections are documented on his injection form. He tolerated these well. No complications were noted. He will play along up in 3 months when get along injections are needed. He is to call the office in 2 weeks and let us know how well he is doing. If at that time he needs a touchup of the injections, we certainly will drop dead from there. I did tell the patient that the first time person is injected, it is somewhat difficult to know the exact dose. We need to try a dose-response curve with him with the injections. Overall we should be able to get somewhere in the range of 90% relief of the hemifacial spasm. Emergency discussion section Note 4.3 This is a 21-year-old female patient who presents to the emergency division complaining of having been bitten while she was at work 2 days ago. long-suffering reports that a client bit her on the proper(ip) fastness arm while they were trying to sit him up in a chair for dinner. The patient reports that the skin was broken.

She denies any fever, nausea, vomiting, neck pain, back down pain, or abdominal pain. Vital signs: Temperature 36.5, pulse 90, respirations 18, blood wedge 113/64. She is alert and oriented. No acute distress. Patient reports that she has completed the hepatitis B vaccination series. On physical exam, patients right upper arm has small superficial abrasions. There is negligible bruising. There are no signs of infection at this time, 48 hours later. Patient was given a tetanus shot, and after discussion, for patients confidentiality reasons and due to low risk of this event, she will follow up with the health center where she gets her medical care for an HIV raise and hepatitis titer tomorrow. She will return for... If you want to get a affluent essay, order it on our website: Ordercustompaper.com

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