Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2024-03-15 Encounter: Photo review (groin image sent by parent via Spruce text message) CC: Parent noticed a bulge in Malcolm's groin area approximately one week ago, concern for hernia. HPI: Malcolm, approximately age 3, was noted by his parent to have a groin bulge approximately one week prior to this message. He had no pain, no vomiting, and no scrotal swelling. The bulge disappeared when lying down but was consistently present when standing. Parent reported a personal family history of inguinal hernia at a similar age. Assessment: Inguinal hernia confirmed based on photo and clinical history — bulge present when standing, resolves when supine, no pain or vomiting, no scrotal swelling. Plan: Referral to pediatric surgery at 612-813-8000. Not an emergency but should be addressed promptly. Surgery recovery expected to be quick. Parent instructed to call in the morning. Key clinical quotes: "Nice arrow placement. Is there any swelling in his scrotum?" "Yep. Inguinal hernia" "It's not an emergency, but something to get in motion" Source: Spruce conversation t_27C02FVS44O00