Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-07 Encounter: Spruce text message CC: Increased stool frequency and diarrhea over the past two days. HPI: Elsie, an approximately 9-10-month-old infant, presented with a notable increase in stool frequency over the prior two days, going from her baseline of 1-2 stools per day to 6 stools on day one, 4 on day two, and 2 already by the time of reporting on day three. Daycare reported one stool was diarrhea, and stools were generally more moist than usual. She remained in good spirits with a strong appetite and no fever reported. No blood in stool was mentioned. Assessment: Likely mild viral gastroenteritis or dietary-related change in stool pattern. NP Catherine Watson assessed presentation as consistent with a viral illness, expecting gradual improvement in stool volume and frequency over the next several days. Plan: Continue monitoring energy level, appetite, and hydration. Watch for worsening symptoms, blood in stool, new fever, or decreased oral intake. Apply diaper rash cream preventively. Dr. Hobbs advised to reconnect if symptoms lingered several more days or new symptoms developed. No medications prescribed. Key clinical quotes: "two main possibilities - one a mild infection, very common. the other main cause is a change in their diet that has things moving more for a short period of time" "If it's lingering for several more days, if the symptoms are worsening, if she gets new symptoms, let's connect." Source: Spruce conversation t_2JKAFP7F8NO00