Pharmacy - Impetigo

PATIENT DETAILS:
Name: Mr. Carter
Phone number: 
Personal Health Number (PHN): 

GENERAL:
PharmaNet has been checked. Eligibility documented.

Objective:
REASON FOR VISIT:
Follow-up for chronic lower back pain and depression.

ASSESSMENT:
Mr. Carter reports persistent lower back pain that is present throughout the day, with increased severity in the mornings and after prolonged sitting. He describes significant sleep disturbance due to pain. He also reports a persistently low mood, anhedonia, social withdrawal, and fatigue. He denies active suicidal ideation but expresses passive thoughts of not wanting to wake up. On review of recent investigations, lumbar spine magnetic resonance imaging demonstrates mild degenerative disc disease without surgical indication. Patient Health Questionnaire-9 score is 18, consistent with moderate to severe depressive symptoms. On physical assessment, no new neurological deficits or acute findings are documented.

RED FLAGS/REFERRAL INDICATIONS:
No active suicidal ideation.

Subjective:
PAST MEDICAL HISTORY:
History of chronic lower back pain and depression. No prior use of serotonin-norepinephrine reuptake inhibitor or similar medications.

CURRENT MEDICATIONS:
No current medications documented.

ALLERGIES:
No allergies documented.

Assessment:
DIAGNOSIS:
Impetigo (L01.0)

Plan:
RECOMMENDATIONS:
- Self care advice: Mr. Carter advised to gently cleanse skin and remove crusts by softening them with warm soapy water. Avoid touching or picking at the lesions as this may cause them to spread.
- He should wash hands regularly, especially after touching the lesions, cover draining lesions if possible, safely discard used compresses and bandages, avoid using shared towels, and wash their linens separately daily.
- Mr. Carter is advised to complete the full duration of topical antibiotic treatment to avoid incomplete treatment and antimicrobial resistance.
- Mr. Carter has been informed that they can fill their prescription at any pharmacy of their choosing.

MONITORING/FOLLOW UP:
- Follow up in 2-3 days if there is no improvement or sooner if symptoms get worse. Mr. Carter is advised that they may need to be referred to their primary care provider if there is no improvement with topical antibiotic treatment.

PHARMACY INFORMATION:
Pharmacy name: 
Pharmacy phone number: 
Pharmacy address: 
Pharmacist name: 
Pharmacist license number: 

Date:
2026-02-06