Jack Murphy

Narrative: CHIEF COMPLAINT Well child visit for 5-year-old HISTORY OF PRESENT ILLNESS Jack is a 5-year-old male presenting for a well child visit. He is preparing to start school at a new program ('rec'). Parents report that his eating habi

Reason: Office Visit

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Narrative: SPRUCE MESSAGE VISIT Date: 2025-08-05 Encounter: Spruce text message CC: Persistent stomach cramping one week after GI illness. HPI: Jack continued to have stomach cramping approximately one week after the acute GI illness in lat

Narrative: 4year check loose poops - likely related to berries or dairy coming into parents room at night General: healthy Eyes: PERRLA, EOEMI HENT: TM clear and normal B, throat clear, normal dentition Neck: supple Resp: lungs clear CVS: h

Narrative: SPRUCE MESSAGE VISIT Date: 2025-07-22 Encounter: Phone Visit CC: Severe intermittent abdominal pain with diarrhea for 6 days, walking bent over. HPI: Jack (age 4) presented with doubled-over abdominal pain, excessive sweating, an

Narrative: SPRUCE MESSAGE VISIT Date: 2025-07-18 Encounter: Photo review (mouth/cheek images sent by parent) followed by Spruce text message CC: Decreased appetite, irritability, neck pain, and red throat — possible hand-foot-mouth disease.

Narrative: SPRUCE MESSAGE VISIT Date: 2025-03-20 Encounter: Spruce text message CC: Red, swollen throat with spots; suspected strep throat. HPI: Jack had a red, swollen throat with visible spots. He was extremely thirsty, not eating, and ha

Narrative: SPRUCE MESSAGE VISIT Date: 2025-01-31 Encounter: Photo review (skin image sent by parent) CC: Multiple raised skin lesions — possible hives. HPI: Parent sent a photo of Jack's skin showing 7-12 raised lesions. No concurrent illne

Narrative: SPRUCE MESSAGE VISIT Date: 2025-01-20 Encounter: Phone Visit CC: High fever with leg pain and leg weakness, suspected influenza. HPI: Jack developed a fever of 103.7-104.1°F the prior evening. He first complained of leg pain arou

Narrative: SPRUCE MESSAGE VISIT Date: 2024-11-24 Encounter: Spruce text message followed by in-person office visit CC: Asthma attack the night before a scheduled flu vaccine visit. HPI: Jack had an asthma attack the night before a scheduled

Narrative: SPRUCE MESSAGE VISIT Date: 2024-09-22 Encounter: Spruce text message CC: Hand-foot-mouth disease with sores on hands, feet, and mouth. HPI: Jack developed sores on his hands and feet (foot sores causing pain with walking) and mou

Narrative: SPRUCE MESSAGE VISIT Date: 2024-09-11 Encounter: Spruce text message followed by Phone Visit CC: Prolonged abnormal bowel movements with rectal pain, possible constipation or GI infection. HPI: Jack had been having abnormal bowel

Narrative: SPRUCE MESSAGE VISIT Date: 2024-08-17 Encounter: Spruce text message CC: Diarrhea for several days, sore throat, ear pain, extreme thirst, and fever. HPI: Jack had loose stools since the prior Friday (approximately 4 days), progr

Narrative: SPRUCE MESSAGE VISIT Date: 2024-07-07 Encounter: Spruce text message CC: Severe sore throat with inability to keep water down and high fever. HPI: Jack presented with a throat that was 'killing him,' very red and swollen, with in

Narrative: SPRUCE MESSAGE VISIT Date: 2024-03-08 Encounter: Spruce text message followed by in-person home visit CC: Sore throat with decreased appetite and subsequent vomiting, with strep circulating at school. HPI: Jack had not eaten all

Narrative: SPRUCE MESSAGE VISIT Date: 2024-02-23 Encounter: Spruce text message CC: Leg pain and limp with reluctance to walk. HPI: Jack woke up complaining his leg hurt and did not want to walk on it, though he chose to go to school. He pl

Narrative: SPRUCE MESSAGE VISIT Date: 2024-01-23 Encounter: Spruce text message CC: Pink eye with associated runny nose, poor sleep, and decreased appetite. HPI: Jack presented with symptoms consistent with conjunctivitis. He had a runny no

Narrative: SPRUCE MESSAGE VISIT Date: 2024-01-16 Encounter: Spruce text message CC: Persistent diarrhea and poor appetite following a GI illness. HPI: Jack had ongoing diarrhea since the GI illness in late December, with soft/loose stools o

Narrative: SPRUCE MESSAGE VISIT Date: 2023-12-23 Encounter: Spruce text message followed by in-person home visit CC: Worsening cough and congestion for over 2 weeks with vomiting and decreased appetite. HPI: Jack had a cough and thick runny

Narrative: SPRUCE MESSAGE VISIT Date: 2023-12-06 Encounter: Spruce text message CC: Congestion, headache, low-grade fever, and possible ear pain. HPI: Jack presented with significant congestion ('super moppy'), headache, and a low-grade fev

Narrative: SPRUCE MESSAGE VISIT Date: 2023-08-29 Encounter: Spruce text message followed by in-person home visit CC: Fever with red/swollen throat and photo of throat sent. HPI: Jack developed a fever starting around 11am on 8/29 with a red

Narrative: SPRUCE MESSAGE VISIT Date: 2023-06-26 Encounter: Spruce text message CC: Rash on legs and loose stools. HPI: Jack developed a rash going down his legs. Baby powder had been applied that morning. He also had loose stools. Low-grad

Narrative: SPRUCE MESSAGE VISIT Date: 2023-06-12 Encounter: Phone Visit CC: Recurrent fever with decreased oral intake and dry diapers. HPI: Jack's fever returned on 6/12, now at 100.8°F, with decreased eating and drinking, dry diapers sinc

Narrative: SPRUCE MESSAGE VISIT Date: 2023-06-10 Encounter: Spruce text message CC: Recurrent fever and loose stools while on antibiotic therapy. HPI: Jack developed a recurrent fever of 100.7°F after appearing to improve, now 6 doses into

Narrative: SPRUCE MESSAGE VISIT Date: 2023-06-07 Encounter: Spruce text message followed by in-person home visit CC: Fever with worsening cough and low energy over the past 5 days, currently on Flovent and albuterol. HPI: Jack presented wit