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Using the following case create a soap note:
Patient is a two years old male who was brought for consultation by his mother. She estate he started developing a painful lesion on his right lower limb since like a week ago, which just started as a bite. On the physical examination, there is redness and induration the right inner tight tender on palpation with well limited edges. CBC was performed in office which reported and slighted elevated white blood cell count. We recommended a dose of Rocephin IM stat, we marked borders to evaluate tomorrow if any change. We also recommended ibuprofen prn fever and pain. ..
Include in the plan possible antibiotic if it would be prescribe for when patient returns to home
DIAGNOSIS: L03.115 – CELLULITIS OF RIGHT LOWER LIMB
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