C09984170 / invoice 10000

History: r/g RH toe 2Nail is displaced and turning on an anglePossible history of trauma- hitting on the edge of door grooves sliding doorExamination: LH- clipped for fentanyl patch previouslyExamination: See yesterdayToday HR 104bpmPanting, some harsher soundsT-37.9History-Update:Assessment:  R?G- can see changes to P3- has evidence of osteomyelitis vs neoplasiaHas responded to Ab but has splint under the nail bed patAll clean, pale pink, mild to moderate swelling of digitHas abn wt transfer on footPlan:  Have 14 days of Amoxicillin, clav Ab- if relapses- can try enrofloxacin +/- metronidazoleOtherwise may need sedation(with caution) nail bed removalConsent has been given by the client to proceed with this treatment  -  Yes    Vital Signs    Weight: 15.5;