Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-01-13 Encounter: Spruce text message with photo review (eye image sent by parent), managed by covering NP Catherine Watson CC: Child with runny nose, bilateral runny/itchy eyes, and low-grade fever concerning for conjunctivitis. HPI: Charlie came home from school the day prior with bilateral runny, itchy eyes and a very runny nose. Both eyes were equally affected. A low-grade temperature of 99.4°F was noted. He reported that his eyes itched but did not hurt. He had some eye discharge/goopiness the prior evening and again in the morning. The parent had leftover unopened antibiotic eye drops from a prior episode (Charlie's episode before Christmas) and inquired about using them. Covering NP Catherine Watson managed this episode as Dr. Hobbs was out of town. Assessment: Presentation consistent with conjunctivitis (pink eye), likely infectious and contagious. Bilateral involvement with associated URI symptoms noted. Plan: Parent advised to use the leftover antibiotic eye drops from prior episode. Educated that conjunctivitis is contagious even after starting drops; good hand hygiene emphasized. Cool compresses suggested for comfort. School exclusion not strictly required but dependent on school policy; advised to reassess the following morning. Follow-up check-in the next day confirmed Charlie's eyes were back to normal. Medications: - (Prescription sent — specific medication not documented in Spruce) Key clinical quotes: "Unfortunately yes it is contagious. Even if you start drops today. Key will be good hand washing." "Let see how he is over all feeling tomorrow. School may have different rules for exclusion but simple pink eye is not reason to stay out." "Great news!" Source: Spruce conversation t_2GDBR8BFPUO00