Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-26 Encounter: Spruce text message CC: Cough without runny nose or fever. HPI: Nelly (age not specified) developed a cough around Wednesday, approximately 4 days prior. She does not have a runny nose. No fever reported at this time. No labored breathing noted. DayQuil was tried on Thursday. Mom had just returned from a week in London on Friday. Assessment: Viral upper respiratory infection, cough-predominant presentation. Symptom onset consistent with sibling illness timeline. Plan: Delsym recommended for cough. Albuterol nebulizer trial suggested for all children. Parent reassured regarding school attendance. Medications: - Delsym Not specified (new) - Albuterol Nebulizer, 3-4 times per day (new) Key clinical quotes: "it's ok try delsym for cough, better than dayquil" "I'm curious what it would look like if you gave them all a neb" "if it all started Wed today really should feel like the worst day with some improvement starting very soon" Source: Spruce conversation t_27C02FVS44O00