Ramsey S. Cotron

ORTHOPEDIC CONSULTATION enduring Name Ramsey S. Cotron forbearing ID 023672 DOB 03/15/- Age 2 Sex Male Consultant Jessie D. Smith, MD, Orthopedics Requesting physician reed instrument Phillips, MD, Pediatrics Date of Consult 10/01/- Reason for Consult Infected Finger. HISTORY Ramsey is an differently healthy 2-year-old Lebanese child who had an injury to the distal failing of his right middle finger the daylight prior to being seen. The forbearing is left-hand dominant. The affected role was brought to Dr. Phillips of Pediatrics secondary to worsening redness as well as infection of the nail have it away.Orthopedics look up was requested on 09/30/- for possible paronychia. The patient at that time was having no fevers or chills and he was tolerating his antibiotic regiment well. PAST MEDICAL surgical HISTORY None other than circumcision shortly by and by birth. BIRTH HISTORY Normal full-term vaginal delivery. FAMILY HISTORY Non-contributory. SOCIAL HISTORY Patient lives wi th his gravel and a sibling, Father deceased. PHYSICAL EXAMINATION Ramsey is alert, oriented, playful, and in no apparent distress. The patient does have erythema meet the tip of his right distal failings, middle finger. in that location is mild purulent from the area.The area is minimally pop the question to palpation. The nail appears to be lifting off from the nail bed itself. He has near(a) capillary refill and has good flexion and extension of that finger. (Continued) ORTHOPEDIC CONSULTATION Patient Name Ramsey S. Cotron Patient ID 023672 Date of Consult 10/01/- Page 2 ASSESSMENT This is a 2-year-old potent with paronychia. PLAN Follow up with me at 9am tomorrow. arrest was given my pager number should the patients condition worsen overnight. I will be in touch with Dr. Phillips. _______________________ Jessie D. Smith, MD, Orthopedics JS D10/01/- T11/14/2012 C Reed Phillips, MD, Pediatrics