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Patient Transcription Activity
The following transcription was sent to you to type. The phrases in bold should be translated into appropriate medical terminology. There are 10 words to be translated.
|Current complaint: 76 year old female with an open sore on her left arm is seen by the specialist in diseases of the skin. |
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|Past History: The patient states she first noticed an area of pain, severe itching and redness of the skin just below her left elbow about 6 |
|weeks ago. After about a week raised spots containing pus appeared. These spots containing pus ruptured and the open sore appeared. |
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|Signs and Symptoms: Patient has a deep open sore 2X4 cm. It is 6cm distal to the elbow on the lateral aspect of the left arm. It appears to |
|extend into the middle layer of skin and the edges show signs of tissue death. The open sore has a small amount of drainage but there is no |
|odor. A sample of the drainage that was grown in the lab to identify the microorganism and determine the best antibiotic reveals |
|Staphylococcus bacteria in the open sore. |
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|Diagnosis: Inflammation of the skin cells and tissue |
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|Treatment: Removal of damaged tissue of the sore followed with application of an antibiotic cream and sterile dressing. Patient will be seen |
|in two days for follow-up. |
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