Ramsey S. Cotron

ORTHOPEDIC consultation Patient happen upon Ramsey S. Cotron Patient ID 023672 DOB 03/15/- Age 2 wake up Male Consultant Jessie D. Smith, MD, Orthopedics Requesting Physician Reed Phillips, MD, pediatrics interlocking of Consult 10/01/- Reason for Consult Infected Finger. HISTORY Ramsey is an other than healthy 2-year-old Lebanese child who had an injury to the distal failing of his veracious middle finger the day prior to being seen. The unhurried is left hand dominant. The patient was brought to Dr. Phillips of Pediatrics secondary to exacerbateing redness as tumefy as infection of the nail bed.Orthopedics consult 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 no(prenominal) other than circumcision shortly after birth. BIRTH HISTORY Normal condition vaginal delivery. FAMILY HISTORY Non-contributory. SOCIAL HISTORY Patient lives wit h his mother and a sibling, Father deceased. PHYSICAL EXAMINATION Ramsey is alert, oriented, playful, and in no apparent distress. The patient does have erythema surrounding the tip of his right distal failings, middle finger. thither is mild purulent from the area.The area is minimally tender to palpation. The nail appears to be lifting off from the nail bed itself. He has good 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 judicial decision This is a 2-year-old male with paronychia. PLAN Follow up with me at 9am tomorrow. bugger off 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