Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2023-11-13 Encounter: Spruce text message CC: Diarrhea with liquid stools and undigested food, starting the day prior and persisting overnight. HPI: Miles presented with diarrhea that began the day before the message (2023-11-12), progressing to mostly liquid stools with undigested food visible. He had no fever and maintained normal energy levels, though he was hungry in the morning. Associated symptoms included sniffles and sneezing, though the parent was unsure if these were related. The parent had kept him home and managed symptoms conservatively. Assessment: Likely a short-lived viral gastroenteritis. Dr. Hobbs affirmed the parent's conservative plan and noted that most intestinal issues are short-lived. Plan: Continue fluids and easy-to-digest foods. Avoid anti-diarrheal medications. Parent to update if symptoms change. Miles reported feeling better by that evening, consistent with a 24-hour illness. Key clinical quotes: "Your plan is great for now. Keep me updated if things change. Avoid any anti diarrhea meds." "Most intestinal issues are short lived, thankfully." Source: Spruce conversation t_25GF4V55J8800