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Timeline

Phone Visit

12/21/2025, 6:00:00 AM· final· Elation Health· source Elation

Phone Visit

Narrative: SPRUCE MESSAGE VISIT Date: 2025-12-21 Encounter: Photo review (image sent by parent via Spruce text message) CC: Infected finger following a hangnail, with visible pus. HPI: Penelope, age approximately 8, had a hangnail that progressed to an apparent finger infection with visible purulent material (pus). A photo was sent for review. No other symptoms were reported. The infection was new at the time of messaging. Assessment: Paronychia (finger infection) requiring antibiotic treatment. Plan: Prescription for oral antibiotics sent to CVS. Medications: - (Prescription sent — specific medication not documented in Spruce) Key clinical quotes: "Needs some meds to treat the infection." Source: Spruce conversation t_27C02FVS44O00