[doctor] hi , ms. brooks . i'm dr. baker . how are you ? [patient] hi , dr. baker . [doctor] is your , is your right finger hurting ? [patient] yes . [doctor] okay . hey , dragon , uh , sharon brooks is a 48 year old female here for right finger pain . all right . so , tell me what happened . [patient] well , i was skiing over the weekend- [doctor] okay . [patient] . and as i was , um , coming down the hill , i tried moguls , which jumping over those big hills , i tend to get my strap caught on my finger- [doctor] [patient] . and it kind of bent it back a bit . [doctor] okay . [patient] yeah . [doctor] and when did this happen ? [patient] it happened , uh ... that was sunday . [doctor] okay . and have you tried anything for this or anything made it better or worse ? [patient] i tried , um , putting ice on it . [doctor] okay . [patient] uh , and then i- i've been taking ibuprofen , but it's still very painful . [doctor] okay . and , uh , is it worse when you bend it ? or anything make it ... so , just wh- [patient] yeah , movement . [doctor] okay . [patient] yes . [doctor] okay . so , it sounds like you were skiing about four about days ago and you went over a mogul and got it hyper extended or got it bent backwards a little bit , ? okay . do you have any other past medical history at all ? [patient] um , i have been suffering from constipation recently . [doctor] okay . all right . and do you take ... what medicines do you take for constipation ? [patient] um , i've just been taking , um , mel- um ... [doctor] miralax ? [patient] miralax . that's it . [doctor] okay . miralax is sufficient . [patient] miralax . yes . [doctor] and any surgeries in the past ? [patient] i did have my appendix taken out when i was 18 . [doctor] okay . let's do your exam . uh , so , it's this finger right here . and does it hurt here on your , on this joint up here ? [patient] no . [doctor] okay . and how'bout right there ? no ? [patient] no . [doctor] right here ? [patient] that hurts . [doctor] all right . uh , can you bend your finger for me ? [patient] yeah . [doctor] all right . and how about extend it ? all right . and can you touch your thumb with it ? [patient] yes . [doctor] all right . so , on exam , you do have some tenderness over your distal phalanx , which is the tip of your finger . there is , uh , some tenderness over that joint itself . i do n't feel any tenderness over your proximal joint or your metacarpophalangeal joint , which is right above your knuckle . uh , you have some pain flexion as well . so , let's look at your x-rays . hey , dragon , show me the x-rays . [doctor] all right . so , on this x-ray. everything looks normal right now . uh , i do n't see any fractures . everything lines up pretty well . uh , so , your x-ray looks normal with no fractures . so , based on the x-ray and your exam , you have some tenderness right here . i think you've got a little contusion right here . there's no fracture on the tip of your finger . uh , so , the diagnosis would be a right hand , uh , index finger contusion on the tip of your finger , okay ? so , i would recommend we get you a s- uh , aluminum foam splint and we'll get you some motrin . uh , we'll give you 600 milligrams every six hours and we'll take that for about a week . and if it does n't get better , why do n't you call us and come back at that point ? [patient] okay . [doctor] okay . do you have any questions ? [patient] no . i think that sounds good . [doctor] okay . hey , dragon , order the medication and procedures we discussed . all right . and why do n't you come with me and we'll get you signed out . [patient] okay . thank you . [doctor] all right . finalize report , dragon .
PLAN

At this point, I discussed the diagnosis and treatment options with the patient. I have recommended a splint. She will take Motrin 600 mg every 6 hours for a week. If she does not improve, she will follow up with me. All questions were answered.
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