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Terms * * in question

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Help...Doctor is throwing in two new terms. I think the first is probably

supposed to be E & M for Evaluation and Management instead of E/M. But the

second is beyond me *POV* See no. 2 under P.

Thanks for any enlightenment.

Pt. for F/U left hallux which is 1-month S/P P & A matrixectomy. Pt. C/O

long, thick nails with P on A. Pt. states no C/O left hallux.

Exam reveals no change in neurovascular status, B/L All nails are

elongated, hypertrophic, dystrophic and yellowed with crumbly S/U debris

with dark discolorations. There are multiple hyperkeratotic lesions noted

sub 2. 3 and 4 B/L. The left hallux lateral border is seen with normal

healing with no signs of cellulitis.

A: 1.Onychomycosis x10 with DM PVD.

2. Hyperkeratosis x6 with DM PVD.

3. One month S/P P & A matrixectomy, left 1st.

P: 1. Aseptic onychoreduction x10 OM nails.

2. E/M left hallux POV

3. SD lesions iwth aftercare.

R/A: Two months or PRN.

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Aliceanne

--------- Forwarded message ----------

To: nmtc

Date: Sun, 3 Mar 2002 12:58:48 -0500

Subject: Terms * * in question

Message-ID:

Help...Doctor is throwing in two new terms. I think the first is probably

supposed to be E & M for Evaluation and Management instead of E/M. But the

second is beyond me *POV* See no. 2 under P.

Thanks for any enlightenment.

Pt. for F/U left hallux which is 1-month S/P P & A matrixectomy. Pt. C/O

long, thick nails with P on A. Pt. states no C/O left hallux.

Exam reveals no change in neurovascular status, B/L All nails are

elongated, hypertrophic, dystrophic and yellowed with crumbly S/U debris

with dark discolorations. There are multiple hyperkeratotic lesions noted

sub 2. 3 and 4 B/L. The left hallux lateral border is seen with normal

healing with no signs of cellulitis.

A: 1.Onychomycosis x10 with DM PVD.

2. Hyperkeratosis x6 with DM PVD.

3. One month S/P P & A matrixectomy, left 1st.

P: 1. Aseptic onychoreduction x10 OM nails.

2. E/M left hallux POV

3. SD lesions iwth aftercare.

R/A: Two months or PRN.

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