Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2024-03-07 Encounter: Photo review (photo of foot sent by parent) CC: Plantar wart on the bottom of Miles's foot unresponsive to over-the-counter cryotherapy. HPI: Miles had a plantar wart on the bottom of his foot that had been treated at home with an OTC freeze method at least three times without resolution. The wart was not causing significant pain while walking, though Miles was bothered by its presence and frequently touched it. No other symptoms were reported. A photo was sent on 2024-03-13 for review. Assessment: The wart was not too large on photo review. OTC cryotherapy had been attempted multiple times without success. Dr. Hobbs noted the goal of treatments is to irritate the skin or stimulate immune recognition of the wart. Plan: Recommended trying Compound W liquid (salicylic acid) applied nightly, as well as Compound W One Step Pads for plantar warts. Explained the mechanism of action. No referral made at this time. Medications: - Compound W (salicylic acid) OTC liquid and/or pads, applied nightly (new) Key clinical quotes: "I'm glad it's not too big." "It irritates the skin around the wart. You use it nightly. The goal of all of these treatments is to get his immune system to notice the wart or kill the skin around the wart." Source: Spruce conversation t_25GF4V55J8800