General Treatment Note
Created by
Kim Nguyen
Specialty
Podiatrist
Last edited
10/20/2026
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0 times
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About this template
This template is for podiatrists documenting routine foot-care visits, including the patient’s reported concerns, clinical findings, treatment delivered, and follow-up planning. It also captures relevant nail and skin care details, home-care advice, and non-clinical updates that support continuity of care.
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Sterilisation
- 14/05/2024
- cycle 408
Subjective
- Presents for routine foot care and bilateral lower limb mobility check.
- Unable to reach feet due to lumbar OA and reduced hip flexion ROM.
- Nil acute issues or falls since last review.
- Reports mild soreness over R 1st MTPJ and dry skin on bilateral heels.
Objective
- Nails 1-5 B/L elongated; R hallux nail slightly thickened.
- Anhidrosis B/L plantar surfaces; superficial hyperkeratosis over plantar aspect of B/L 1st and 5th MTHs and heels.
- Mild R HAV with medial eminence erythema from footwear friction; lesser digits rectus.
- Skin intact throughout; nil ulceration, fissuring, or signs of local infection.
Treatment
- Nails 1-5 B/L clipped, cleared, and filed smooth.
- Sharp debridement of plantar callus at B/L 1st/5th MTHs and heels; 15% urea cream applied to plantar and dorsal surfaces (avoiding IDSs) with gentle effleurage.
- Advised daily application of urea-based emollient to heels and reviewed wide-toe-box footwear options to offload R 1st MTPJ.
Review
- PRN / 6-8 weeks for ongoing routine foot care and skin integrity monitoring.
- Next FHA due 14/11/2024.
Rapport Building Notes
- Daughter recently moved back to Perth from Melbourne; pt very pleased to have family closer.
- Attended local bowls club luncheon last weekend.
- Prefers morning appointments to align with community transport schedule.
How to use this template
This template can be used to assist with various tasks in the medical field. You can use it to generate notes, manage patient information, or assist with diagnosis and the Assessment and Plan. To use this template, simply click the “Use Template” button above. If you have any questions or need assistance, feel free to reach out to the support team or refer to the description and example output provided above.