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Evaluate the following chart information. Patient presents for pilonidal cyst and skin tag removal. Patient has a history of hypertension and diabetes. Patient is taking
Evaluate the following chart information. Patient presents for pilonidal cyst and skin tag removal. Patient has a history of hypertension and diabetes. Patient is taking lisinopril and metformin, and their chronic conditions are well managed. PFSH Occupation: Truck driver Tobacco use: Stopped smoking in 2016 Alcohol: N/A Seatbelt use: Yes Marital status: Married Physical exam and procedure: Patient is well developed, well-nourished, and in no acute distress. Patient was informed of the surgical risk factors, including postoperative bleeding, infection, and pain, and consented to the procedures. Patient has approximately 15 acrochordons to be removed from the abdomen and neck areas. Patient also has a pilonidal cyst approximately 4 cm in size. Due to the nature of the operation, the skin tags will be removed first. Patient was draped and the skin prepped in the usual fashion. Patient's preference is electrocautery for the skin tags. Patient has 10 lesions for removal on the abdomen and 5 on the neck. Topical anesthesia was applied followed by lidocaine injections into each lesion. I gripped each lesion with forceps and then used the Bovie to cauterize the area. Patient tolerated the procedure well, and all lesions were successfully removed. Bacitracin and a sterile adhesive
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