Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-20 Encounter: Spruce text message CC: Parent concerned about bumps on child's tongue. HPI: Hendricks, age unknown, was noted by parent to have bumps on his tongue. No associated pain, difficulty eating, or other symptoms described. Parent appeared worried the bumps might indicate a pathological condition. Assessment: Bumps toward the back of the tongue are normal anatomical structures — circumvallate papillae (a different type of taste bud). No clinical concern. Plan: Reassurance provided. No treatment or follow-up needed. Key clinical quotes: "big ones, towards the back? those are normal, just a different kind of taste bud" Source: Spruce conversation t_27C02FVS44O00