DIAGNOSIS
Status post ganglionectomy, left wrist.
PRESENT SUBJECTIVE COMPLAINTS
At this point the patient is approximately 5 months postoperative ganglionectomy of the dorsal left wrist. Patient states for the past 2 weeks she has experienced some aching and pain in the left wrist. She gives no history of strain or pull. She also has complaints referable to the pinkness in color of the incisional scar over the left wrist.
EXAMINATION
Examination reveals the incisional scar to be most acceptable, although very slightly pink. There is no recurrence of the ganglion. The patient appears to have good range of motion of the wrist and digits.
COMMENTS
Photographs of the patient were obtained. If this patient persists in subjective complaints, I would suggest a second opinion be obtained. I cannot account for her subjective complaints. My physical findings are not commensurate with her subjective complaints. The patient will be seen in followup again in about 3 months.
FOOTNOTE
Line 25. The dictated number 1 was deleted, since additional numbers were not given.
No comments:
Post a Comment