Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-01-26 Encounter: Photo review (image sent by parent via Spruce text message) CC: Swollen lymph node noticed by parent; child otherwise not currently ill. HPI: Penelope, age approximately 7.5, was noted to have a swollen lymph node. She had been sick within the prior couple of weeks. She was not currently symptomatic otherwise. A photo was sent for evaluation. No tenderness or redness was reported. Assessment: Swollen lymph node most likely reactive from recent illness. No concerning features identified. Plan: Monitor for: node growing, becoming tender, additional nodes appearing, or development of new systemic symptoms such as fever. No treatment initiated. Key clinical quotes: "Very likely from that." "Things to monitor for: 1. It's growing 2. It starts hurting 3. More start to show up 4. She's having new, systemic symptoms like fever" Source: Spruce conversation t_27C02FVS44O00