Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-10 Encounter: Spruce text message with photo review (implied by Dr. Hobbs noting visual differences between legs) CC: New rash forming on both thighs with itching. HPI: Patient Malcolm Hampton presented with a new rash noted on the thighs, first observed by the parent on 2026-06-10. The rash appeared on both legs, more prominent on one thigh than the other. The lesions were described as itchy. No prior treatment had been applied at the time of the conversation; tacrolimus and fluocinolone were available at home. Assessment: Dr. Hobbs noted the rash appeared visually different from one leg to the other, suggesting a localized dermatologic process, likely consistent with eczema or a similar inflammatory skin condition given the recommendation of tacrolimus. Plan: Dr. Hobbs recommended trialing tacrolimus on the itchy spots. Parent agreed to begin treatment that evening. No prescription was sent; medication was already available in the home. Medications: - Tacrolimus Not specified (Trial initiated using existing home supply) Key clinical quotes: "Looks a little different one leg to the other" "Tactolimus would be great to trial on the itchy spots" Source: Spruce conversation t_2BM55EMROF800