Professional Documents
Culture Documents
Adam Carl
4/22/2016
SUBJECTIVE: Suture removal. Patient returns for removal of stitches placed about 7
days ago.
OBJECTIVE: Wound at lateral aspect of the left eye looks well healed. The 5-0 nylon
sutures were removed without difficulty.
ASSESSMENT: Laceration, healed.
PLAN: I advised him to use vitamin E for scar prophylaxis.
Peter DeLuca, M.D. /mj
CHART NOTE 2
Olson Reiss
7/5/2016
CHART NOTE 3
Jason A. Others
3/2/2016
CHART NOTE 4
1/4/99
CHART NOTE 5
9/12/2016
CHIEF COMPLAINT: Cough, cold, and some difficulty in breathing for the past 48
hours. Some loss of appetite.
VITAL SIGNS: Plus, 120. Temperature, 100.1. B/P, 130/80. Respirations, 40.
GENERAL APPEARANCE: The patient was afebrile, active, and alert.
HEENT: Purulent discharge, both eyes. Conjunctive, red. Ears, normal.
LABORATORY EXAMINATION: Urinalysis, normal. WBC, unremarkable. Culture
from discharge from eyes showed cellular debris, gram-positive cocci identified as
staphylococcus aureus and staphylococcus epidermitis. Sweet chloride test, WNL.
X-RAYS: Chest, normal.
IMPRESSION: Chronic gastritis and conjunctivitis.
TREATMENT PRESCRIBED: Injection of 1,200,000 units of sterile penicillin G
benzathine. Occasional use of antacids recommended. Referred to ophthalmologist
(Berger) for treatment of conjunctivitis.
mj