01 BMT Dermatology 8 Consultation

BMT – DERMATOLOGY #8
LOD = 1:40

CONSULTATION REPORT

The patient was admitted to the hospital for treatment of Leg (a leg) ulceration. Consultation was requested specifically for an eruption on the back and legs, which (the) patient (state) states [minus 0.5 for GRAMMAR ERROR] has been present (in) [minus 0.5 for ADDING WORDS NOT DICTATED] 3 months. No treatment has been given for this. The nurses report that the area had been oozing aton the back, but since the start of oral cuplex (Keflex), [minus 3.0 for INCORRECT MEDICINE NAME] the oozing has stopped. The patient is not a good historian, state (and states) only that the eruption started about 3 months ago(,) and (it) is occasionally pruritic.

(PHYSICAL EXAMINATION)
Physical Examination(examination) showed, covering most of the back and also the medial central buttocks, confluent, erythematous, scaly plaque(plaques) with some crusting, similar plaque. (Similar plaques)were also present on the anterior lower legs.

IMPRESSION (Confluent): My impression is confluent psoriasis which has(had) been secondary(secondarily) [minus 0.5 for MINOR ERROR] infected.

PLAN
1. The cuplex(Keflex) should be continued to treat the secondary infection.
2. The psoriasis will be treated with a combination of 10% (LCD in L.C.D. and) [minus 0.5 for WRONG CONJUNCTION] 0.1% Triamcinolone(triamcinolone) [minus 1.5 for CASING OF MEDICATIONS] cream.

line count = 14.70
negative pts. = 6.50 (44%)
ACCURACY = 56%