Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-23 Encounter: Photo review (image of knee sent by parent) via Spruce text message CC: Impetigo on knee not fully clearing after sharing sibling's antibiotic course. HPI: Hendricks (age unknown, referred to as 'Henny') developed impetigo around the same time as his brother Malcolm. He used Malcolm's oral cephalexin prescription rather than receiving his own, which may have resulted in an inadequate treatment course. His knee lesion scabbed over and appeared to improve but has since reopened in the same location. Parent submitted a photo of the knee for review. Assessment: Impetigo with incomplete resolution on the knee, likely due to insufficient antibiotic exposure from sharing a sibling's prescription. Dr. Hobbs assessed both children together and determined a longer course and bleach baths were needed. Plan: Dr. Hobbs recommended a longer antibiotic course and bleach baths for both children, with a written plan to be provided. A prescription was sent (confirmed received by parent on 2026-03-27). Parent noted the family would be traveling to Florida starting 2026-03-29 but planned to continue the treatment there. Medications: - Cephalexin Dose not specified; oral formulation shared from sibling's prescription (prior treatment (shared, potentially inadequate)) - (Prescription sent — specific medication not documented in Spruce) Key clinical quotes: "ok, likely need a long course and some bleach baths" "let me get you a plan created and written down" Source: Spruce conversation t_2BM55EMROF800