Henry Murphy

Reason: Office Visit

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Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-16 Encounter: Spruce text message followed by in-person home visit (NP Catherine Watson conducted home visit for strep test) CC: Fever and stomach ache after coming home from school, with concer

Narrative: Anxiety Big feelings that are hard to regulate Using swear words General: healthy Eyes: PERRLA, EOEMI HENT: TM clear and normal B, throat clear, normal dentition Neck: supple Resp: lungs clear CVS: heart normal, no murmur Abdom:

Narrative: SPRUCE MESSAGE VISIT Date: 2025-07-10 Encounter: Photo review (otoscope images sent by parent) followed by Spruce text message CC: Right ear pain after several days of lake swimming, consistent with swimmer's ear. HPI: Henry woke

Narrative: SPRUCE MESSAGE VISIT Date: 2025-05-23 Encounter: Spruce text message CC: Persistent cough, runny nose, and yellow nasal discharge for the entire month of May. HPI: Henry had been under the weather all of May with a mild cough and

Narrative: SPRUCE MESSAGE VISIT Date: 2024-07-14 Encounter: Spruce text message CC: Suspected strep throat after brother's confirmed strep diagnosis. HPI: Parent suspected Henry also had strep after Jack was confirmed strep positive on 7/8.

Narrative: SPRUCE MESSAGE VISIT Date: 2024-01-23 Encounter: Spruce text message CC: Abdominal pain and vomiting with concern for appendicitis. HPI: Henry vomited once the prior night and was holding his mid/lower abdomen, describing pain th

Narrative: SPRUCE MESSAGE VISIT Date: 2024-01-11 Encounter: Photo review (eye image sent by parent) followed by Spruce text message CC: Bilateral bloodshot and crusty eyes. HPI: Henry presented with both eyes bloodshot and crusting. No runn

Narrative: SPRUCE MESSAGE VISIT Date: 2023-09-30 Encounter: Spruce text message CC: Post-tonsillectomy pain management and GI symptoms including diarrhea and vomiting. HPI: Henry underwent tonsillectomy and adenoidectomy on 9/29 and was dis

Narrative: SPRUCE MESSAGE VISIT Date: 2023-09-22 Encounter: Spruce text message CC: Pre-operative clearance needed for scheduled tonsillectomy and adenoidectomy on 9/29. HPI: Henry was scheduled for a tonsillectomy and adenoidectomy on 9/29

Narrative: SPRUCE MESSAGE VISIT Date: 2023-08-01 Encounter: Spruce text message CC: Morning throat pain, excess salivation, and stomach pain on his birthday. HPI: Henry (turning 5) was complaining every morning at breakfast that his throat

Narrative: SPRUCE MESSAGE VISIT Date: 2023-07-21 Encounter: Photo review (throat images sent by parent) CC: Persistent cough with red throat and throat clearing since a possible COVID illness in early July. HPI: Henry had a persistent cough

Narrative: SPRUCE MESSAGE VISIT Date: 2023-07-01 Encounter: Spruce text message CC: Stomach pain when swallowing, white-coated tongue, and nighttime waking for 3 nights. HPI: Henry was complaining of stomach/throat pain when swallowing. Par

Narrative: SPRUCE MESSAGE VISIT Date: 2023-06-15 Encounter: Spruce text message CC: Right ear burning, redness, and heat after recent swimming. HPI: Henry complained to his teacher and at home about his right ear burning. The ear appeared r

Narrative: SPRUCE MESSAGE VISIT Date: 2023-06-02 Encounter: Spruce text message CC: Fever with deep cough, runny nose, and stomach pain. HPI: Henry (approximately 4 years old, DOB 08/02/2018) presented with a deep cough, clear runny nose, s