Penelope Hampton

Narrative: PATIENT: Penelope Hampton (referred to as 'Missy' in dictation) CHIEF COMPLAINT Cold with fever, headache, sore throat, and chest congestion for about 8 days HISTORY OF PRESENT ILLNESS Missy is seen today for a sick visit for an

Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-28 Encounter: Spruce text message followed by in-person office visit (4/30) CC: Headache, subjective fever, and persistent cough; parent requesting strep test due to prior history of strep. HPI:

Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-28 Encounter: Spruce text message followed by in-person office visit (Edina office, April 30) CC: Persistent cough with new headache, low-grade fever, and abdominal pain; parent requesting strep

Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-26 Encounter: Spruce text message CC: Cough without runny nose or fever in the setting of a household viral illness. HPI: Nelly (age not specified) developed a cough around the same time as her

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

Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-26 Encounter: Spruce text message CC: Cough without nasal congestion or fever. HPI: Nelly (age not specified) is experiencing cough without accompanying runny nose or nasal stuffiness. No fever

Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-03 CC: Psoriasis follow-up and persistent cough while eating HPI: Parent reports a recent check-in with dermatologist Dr. M regarding Nelly's psoriasis, noting that she continues to test positiv

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 prog

Narrative: SPRUCE MESSAGE VISIT Date: 2025-12-03 Encounter: Spruce text message with video review CC: Cough occurring exclusively during meals for several weeks, regardless of food type. HPI: Penelope, age approximately 8, had been coughing

Narrative: ``` SUBJECTIVE: Chief Complaint: URI symptoms HPI: 8-year-old presenting on day 4 of upper respiratory infection symptoms with cough and low-grade fever. Siblings at home with similar illness. PMH: Psoriasis, recently started on

Narrative: SPRUCE MESSAGE VISIT Date: 2025-11-12 Encounter: Spruce text message followed by in-person home visit CC: Fever and cough starting the day before, sent home from school. HPI: Penelope, age approximately 8, started feeling unwell

Narrative: SPRUCE MESSAGE VISIT Date: 2025-10-13 Encounter: Photo review (otoscope images sent by parent via Spruce text message) CC: Ear pain starting the night before, worsening overnight; painful to sleep on affected side. HPI: Penelope,

Narrative: Diagnosis: Psoriasis flare Diagnosis History: 1. Medical History: History of psoriasis with previous flares, no major flares in the past year. Psoriasis flares have previously been triggered by streptococcal infections. No mentio

Narrative: SPRUCE MESSAGE VISIT Date: 2025-07-29 Encounter: Spruce text message followed by in-person office visit CC: Dermatologist suspects dormant/carrier strep contributing to psoriasis flares; requesting strep test. HPI: Penelope, age

Narrative: SPRUCE MESSAGE VISIT Date: 2025-04-19 Encounter: Spruce text message CC: Parent requesting strep test for Penelope. HPI: Penelope, age approximately 7.5, had symptoms prompting a request for strep testing. Specific symptoms were

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 n

Narrative: SPRUCE MESSAGE VISIT Date: 2024-10-16 Encounter: Spruce text message CC: Nagging cough for approximately 10 days, worse at night and in the morning. HPI: Penelope, age 7, shared a similar symptom profile with her brother Hendrick

Narrative: SPRUCE MESSAGE VISIT Date: 2024-09-28 Encounter: Spruce text message CC: Persistent cough with strep exposure at school; parent asking whether to test at home. HPI: Penelope, age 7, had a persistent cough and was irritable. Sever

Narrative: SPRUCE MESSAGE VISIT Date: 2024-08-27 Encounter: Spruce text message CC: Upset stomach and headache starting around noon, following similar illness in parent over 48 hours. HPI: Penelope, age 7 (born 08/28/2017), developed an ups

Narrative: SPRUCE MESSAGE VISIT Date: 2024-07-07 Encounter: Photo review (image sent by parent via Spruce text message) CC: Severe local reaction to bug bites at the cabin, recurring issue for Penelope and Hendricks. HPI: Penelope, age appr

Narrative: SPRUCE MESSAGE VISIT Date: 2024-03-12 Encounter: Spruce text message followed by in-person home visit CC: Persistent neck issue continuing to be a problem. HPI: Penelope, age approximately 6.5 years, presented with an ongoing nec

Narrative: SPRUCE MESSAGE VISIT Date: 2024-02-22 Encounter: Spruce text message CC: Heart murmur detected incidentally at CVS during strep test visit. HPI: Penelope, born 08/28/2017 (age approximately 6), was taken to CVS for a strep test w