Secure Message Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-11-18 Encounter: Spruce text message followed by in-person strep test at Wayzata office CC: School-age child presenting with headache, sore throat, and stomach ache after known strep exposure, who tested positive for strep pharyngitis. HPI: Charlie is a school-age boy who was exposed to a friend's child who tested positive for strep on a Monday after being sick all the prior weekend. Charlie came home from school not feeling well the evening before with headache, mild sore throat, and fatigue. The following morning he was complaining of headache, stomach ache, and sore throat, prompting the parent to keep him home from school. A strep test was arranged at the Wayzata office and returned positive. Parent subsequently asked about concurrent Motrin use and duration of the 10-day antibiotic course. Assessment: Strep pharyngitis confirmed by rapid strep test. Clinical picture consistent with streptococcal pharyngitis given known exposure and classic symptoms of headache, sore throat, and abdominal pain. Plan: Prescription for antibiotic sent (10-day course). Charlie may return to school once fever-free and feeling better. Motrin approved as concurrent symptom management. Siblings (Luke and Tommy) to be monitored for development of symptoms. Antibiotic course confirmed complete on evening of 2025-11-27. Medications: - UNSPECIFIED prescription sent post-visit (10-day antibiotic course for strep pharyngitis) Key clinical quotes: "He can go to school tomorrow! As long as his fever is gone and he's feeling better. I called the meds in" "Absolutely, you want to monitor for symptoms and check in if and when you see them" "You can be done tonight :)" Source: Spruce conversation t_2GDBR8BFPUO00