Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-07-22 Encounter: Spruce text message CC: Cough that started the prior day, worse at night, with low-grade warmth but no documented fever. HPI: Hendricks, age approximately 5, developed a cough the prior day with noted low-grade warmth but no documented fever. The cough was worse at night and described as less prominent during the day, a pattern consistent with croup. Parents had budesonide and nebulizer at home. Assessment: Croupy cough based on nocturnal predominance and clinical character of the cough. Plan: Budesonide nebulizer (or inhaler) recommended for croup management. Medications: - Budesonide nebulizer or inhaler (new) Key clinical quotes: "sounds like worse at night, which would be croupy" "budesonide nebs or inhaler would be great" Source: Spruce conversation t_27C02FVS44O00