Followup Visit
Subjective:
Patient has no complaints, no fever, chills, or drainage
Pain is well controlled, on antibiotics
No issues with the surgical site
Objective:
Vitals - Reviewed
General - No acute distress
Skin/Integuments - wound is clean,
no erythema, warmth, tenderness
Drain/sutures in place
Assessments and Plans:
Patient is status incision and drainage of ..................................................
Doing well, no complaints
Drain/sutures removed during this visit
continue antibiotics
continue local wound care
Follow up in 2 weeks/prn
maintain routine medical visit with PCP