Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-07-10 Encounter: Spruce text message CC: 7-year-old fell on slippery garage floor and hit the back of his head, developing a bump. HPI: Charlie is a 7-year-old who fell on a slippery garage floor while playing outside and struck the back of his head. He developed a notable bump at the site and reported pain. He was otherwise acting normally at the time the message was sent. No vomiting, excessive sleepiness, or behavioral changes were mentioned at the time of initial report. Assessment: Dr. Hobbs assessed this as a head injury with a hematoma but expressed low concern for serious intracranial injury given that Charlie was acting normally. Plan: Parent was instructed to apply ice to the head and monitor for warning signs including vomiting, sleepiness, not acting like himself, or steadily worsening symptoms. Dr. Hobbs indicated he did not expect significant complications but remained available if the situation changed. Key clinical quotes: "vomiting, sleepiness, not acting like himself, steadily worsening versions of any of those" "Put some ice on his head. I don't expect much to happen though" "Always welcome, I'm around if things change" Source: Spruce conversation t_2GDBR8BFPUO00