Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-02-13 Encounter: Photo review (throat photos sent by parent) followed by Spruce text message CC: Sore throat worsening over two days with associated stomach ache and decreased appetite, parent inquiring about strep testing. HPI: Theo, a 7-year-old male, developed a sore throat the day prior to messaging that worsened significantly by the morning of February 13th. He also reported a stomach ache and had no appetite. There was no fever, congestion, or cough. He had only had strep once previously at age three. Dr. Hobbs reviewed throat photos sent by the parent and asked follow-up questions about neck swelling and voice changes, both of which were absent. Assessment: Dr. Hobbs noted the absence of fever made strep less likely, as strep typically presents with a temperature. Throat appeared not too red on photo review, and absence of neck swelling and voice changes further supported a watchful waiting approach. Plan: Parent advised to monitor the day's progression and observe for development of fever before pursuing further evaluation or testing. Key clinical quotes: "No fever is interesting, strep usually comes with a temp. Would you send me a pic of his throat?" "It does help! Thanks. Not too red. Any swelling in his neck? Change in voice?" "I'd see how the day progresses and if he gets a fever or not." Source: Spruce conversation t_2IF1ANVTMQ000