Patient presents with chief complaint of left great toe pain.  Onset of pain is described as (acute, subacute, chronic), occurring (duration) ago.  Pain quality is characterized as (sharp, dull, throbbing, aching, burning) and located in the (dorsal, plantar, medial, lateral) aspect of the left hallux.  Patient reports (aggravating factors:  weight bearing, ambulation, footwear, specific movements) and (alleviating factors: rest, elevation, ice, medication).  Associated symptoms may include (swelling, redness, warmth, stiffness, limited range of motion, numbness, tingling).  Patient denies (relevant negatives: trauma, fever, chills, night sweats, open wounds).  Medical history significant for (relevant comorbidities:  gout, osteoarthritis, diabetes, peripheral neuropathy, rheumatoid arthritis).  Surgical history includes (relevant procedures:  bunionectomy, hammertoe correction).  Medications include (list current medications).  Allergies include (list allergies).  Physical exam reveals (tenderness to palpation, erythema, edema, deformity, crepitus, limited range of motion of the first metatarsophalangeal joint).  Differential diagnosis includes hallux rigidus, hallux valgus, sesamoiditis, gouty arthritis, osteoarthritis, fracture, ingrown toenail, infection.  Assessment:  Left great toe pain, likely secondary to (presumptive diagnosis).  Plan:  (Diagnostic tests:  X-ray of the left foot, uric acid level).  Treatment plan includes (conservative management:  rest, ice, elevation, NSAIDs, orthotics, physical therapy) andor (interventions:  corticosteroid injection, referral to podiatry, surgical consultation).  Patient education provided regarding activity modification, footwear recommendations, and medication management.  Follow-up scheduled in ( timeframe) to assess response to treatment.