Patient presents with an infected wound.  Clinical findings suggestive of wound infection include erythema, edema, warmth, pain, purulent drainage, and potential odor.  Wound location is documented as (insert location).  Wound size is measured at (length) x (width) x (depth) cm.  Surrounding skin integrity is assessed as (intact, macerated, excoriated).  Patient reports (present, absent) fever, chills, malaise, and lymphadenopathy.  Differential diagnoses considered include cellulitis, abscess, necrotizing fasciitis, and foreign body reaction.  Wound culture obtained and sent for analysis.  Current medications reviewed for potential drug interactions or contraindications to prescribed wound care.  Patient education provided regarding wound care instructions, signs and symptoms of worsening infection, and importance of follow-up.  Treatment plan includes (debridement, if applicable), topical antimicrobial ointment (specify), and oral antibiotics (specify).  Patient's tetanus status assessed and updated as needed.  Follow-up appointment scheduled for (date) to monitor wound healing progress and adjust treatment plan as indicated.  ICD-10 code for infected wound (specify code based on location and severity) and CPT codes for wound debridement and other procedures (if performed) documented for medical billing and coding purposes.  Plan to monitor for complications such as sepsis, osteomyelitis, and delayed wound healing.