Patient presents with right hand swelling.  Onset of swelling noted (duration specified by patient).  Location of swelling described as (e.g., diffuse, localized to dorsum, palmar aspect, specific digits).  Character of swelling described as (e.g., pitting, non-pitting, tense, erythematous, warm, cool). Associated symptoms may include pain, stiffness, numbness, tingling, decreased range of motion, weakness, or skin changes.  Patient denies any recent trauma, insect bites, or known allergies.  Medical history significant for (list relevant medical conditions, e.g., hypertension, diabetes, arthritis).  Surgical history includes (list prior surgeries, if any).  Medications include (list current medications).  Family history of (list relevant family history, e.g., autoimmune disorders).  Social history includes (list relevant social history, e.g., smoking, alcohol use).  Physical examination reveals (objective findings, e.g., edema, erythema, warmth, tenderness to palpation, limited range of motion, palpable masses, skin lesions).  Differential diagnosis includes cellulitis, tenosynovitis, arthritis, fracture, insect bite, allergic reaction, lymphedema.  Plan includes (diagnostic tests, e.g., X-ray, ultrasound, blood tests; treatment plan, e.g., RICE therapy rest, ice, compression, elevation, NSAIDs, antibiotics, splinting, referral to specialist).  Patient education provided regarding (e.g.,  monitoring symptoms, follow-up care, potential complications).  Return precautions discussed.  Follow-up scheduled for (date).