Physician Office Note

S: The patient's wife brought the patient to my office after the patient tried to separate a raccoon and their dog, which were fighting. While trying to separate the animals, the patient was bitten. He is not sure whether the raccoon or the dog bit him.

EXAM:

The patient's left forearm has bite marks on it. The wound is bleeding and is deep, and there is tendon involvement.

The nurse cleaned the wound, and a tetanus shot was given. Because the wound is deep and there is tendon involvement, I called Dr. Black for a surgical consult. The wound was dressed to control the bleeding.