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t Occupational Injury Clinid.031, <br /> 420 W.Acacia Street, STE#2 Linacia 1st Floor <br /> Stockton.CA 95204 <br /> DATE ;.: :. .a <br /> PATIENT Anderson,Tiffany K •,`� <br /> EMPLOYER INJURY <br /> SJ Mosquito and Vector Control SOC. SEG.# 549-23-5133 <br /> CASE* 56808 CLAIM# Pending <br /> SUBJECTIVE <br /> She works for SJ M09quito and Vector Control. She was out ;n bru8h and developed a rash, <br /> possible contact c'es . _itis = - the brU: ;h. 3h_ <br /> utsncrd a 1 =chr i`�h r ,.; <br /> CuPle of dityu or her upper leys anc buLLOcksS and neck, in rhe la:�C <br /> s - <br /> She is in no acute distress. past medical Ilistocy is unremarkatstc. C'arrrnt'y raking no <br /> redxcae_ons. flu drug allergies. Ct:rsent:r she is not pxegnxat. Last menstrual <br /> 0'/4/04. Vital signs are within nox-nral limits. Therz is a fain} perirsd tea' <br /> kind of pink. There is no s reaking of the posterior' aspect of. chea'ce>reregs,andGYereaare <br /> sc:me patches around ner•- nei'It . - <br /> ASSESSMENT: <br /> ( Contact dermatitis. <br /> l <br /> PLAN: <br /> 1• cream c1.13. apply b. i.d. 30 drams. <br /> 2, see .vill gi✓e her P~edfiluore dose pack she is tc take for 6 days and . <br /> Start with 60 mg and reduce the dose within 6 days to d0 <br /> Prednisor_e tablets Ii8pen:zed. rng and discdiscontinue ?I,sl l0 mg dose. <br /> 3. Return to clinic prn. <br /> OR./ds <br /> D.- 6/9/04 <br /> T; 6/10/04 <br /> I have not violated Labor Code Section 139.3 and the contents of the report and bill are <br /> true and correct to the best of my knowledge. This statement is made ander penalty of <br /> Perjury. <br /> r , <br />