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    This medical record contains information about a patient's foot exam and treatment. It includes their name, address, phone, birthdate, occupation, medical history, medications, vital signs, and notes from a physical exam of both feet. The exam noted pulses, temperature, circulation issues, and skin condition. The treatment section outlines asepsis, footwear recommendations, cleaning, nail cutting, callus removal, and other procedures or indications.

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    Blank Clinical File

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    This medical record contains information about a patient's foot exam and treatment. It includes their name, address, phone, birthdate, occupation, medical history, medications, vital signs, and notes from a physical exam of both feet. The exam noted pulses, temperature, circulation issues, and skin condition. The treatment section outlines asepsis, footwear recommendations, cleaning, nail cutting, callus removal, and other procedures or indications.

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    This medical record contains information about a patient's foot exam and treatment. It includes their name, address, phone, birthdate, occupation, medical history, medications, vital signs, and notes from a physical exam of both feet. The exam noted pulses, temperature, circulation issues, and skin condition. The treatment section outlines asepsis, footwear recommendations, cleaning, nail cutting, callus removal, and other procedures or indications.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    13 views1 page

    Blank Clinical File

    Uploaded by

    ScribdTranslations
    This medical record contains information about a patient's foot exam and treatment. It includes their name, address, phone, birthdate, occupation, medical history, medications, vital signs, and notes from a physical exam of both feet. The exam noted pulses, temperature, circulation issues, and skin condition. The treatment section outlines asepsis, footwear recommendations, cleaning, nail cutting, callus removal, and other procedures or indications.

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    PODIATRIC MEDICAL RECORD FICHA Nro____

    Full name: _______________________________________________________________________________Sexo:________


    Address : ____________________________________________________________________________________________
    Phone : __________________________Birth:____________________________ Age:_____________________
    Occupation :____________________________________________________________________________________________
    Centro de derivación:__________________________________________________________________________________________

    Illness from which you suffer:


    XD HTA Arthritis Arthrosis Osteopr Others:__________________________________
    Medications :___________________________________________________________________________________________
    SYMBOLOGY Weight : _______kilos

    Height :_______mt

    N° shoes :________

    FOOT EXAM

    PEDIAL PULSE (+) (-)

    Right Left

    TIBIAL PULSE (+) (-)

    Right Left

    TEMPERATURE

    Cold Norm Hot

    CIRCULATORY PROBLEMS

    Yes No

    SKIN

    Dry Normal Moist

    REMARKS: TREATMENT: INDICATIONS:


    ___________________________
    ASEPSIA ___________________________
    Adequate Footwear Inadequate Very inadequate PROMOTION ___________________________
    _____________________________________________ GROOVE CLEANING ___________________________
    _____________________________________________ ONYCOTOMY ________________________
    _____________________________________________ DISPARAGEMENT ________________________
    _____________________________________________ RESECADO ________________________
    _____________________________________________ HELOTOMY ________________________
    _________________________________________________
    ROUGHING ________________________
    ___________________________________________ PULIDO ________________________
    ___________________________________________ FINAL ASEPSIS ________________________
    ___________________________________________ OTHERS: ________________________
    ____________________________________________________________________________ ________________________
    ____________________________________________________________________________ ________________________
    ____________________________________________________________________________ ________________________
    ____________________________________________________________________________
    ___________________________________________ _________________________________ DATE :____/____/________
    ___________________________________________ _________________________________
    __________________________________________ _________________________________ TREATMENT:
    __________________________________________ _________________________________
    __________________________________________
    __________________________________________

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