Secure Message Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2024-12-10 Encounter: Spruce text message CC: Teenager with persistent cough for 2+ weeks, fatigue, possible walking pneumonia HPI: Teenager with 2+ week cough, previously negative for flu, COVID, and strep at urgent care 10 days ago. Sleeping excessively, feels unwell with hot/cold sensations. Hockey team has walking pneumonia outbreak. Weight approximately 150 lbs. Assessment: Likely atypical pneumonia (walking pneumonia) consistent with community outbreak Plan: Prescribed antibiotic treatment without chest x-ray given clinical picture and exposure history. Medications: - UNSPECIFIED prescription sent for walking pneumonia Key clinical quotes: "He almost certainly needs treatment, lots of of that pneumonia going around" Source: Spruce conversation t_2767G9AB1M000