Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2024-08-24 Encounter: Spruce text message CC: New painful red bump on one foot, noticed over the past week. HPI: Miles had a red, raised, and tender bump on one foot that had developed over the prior week. The bump had no warmth but was significant in size. The parent noted it was compressible (not bone-like) but firm with some movement. Miles had recently started wearing new Hoka sneakers at camp. There was no history of trauma or other skin changes noted. Assessment: Dr. Hobbs assessed this as likely friction irritation from new shoes rubbing against a bony prominence or anatomical variation on Miles's foot, a common presentation. Plan: Reassurance provided. Recommended ensuring the shoe fits snugly and breaking in the new shoes gradually before heavy use. Key clinical quotes: "Often a human will have a difference in their anatomy that rubs funny on shoes." "They are prob rubbing his foot funny" "And/or breaking them in before a lot of use" Source: Spruce conversation t_25GF4V55J8800