Visit Cough/Cold/Fever Peds

Child is being seen for [checkbox name="variable_1" value="Fever|runny nose|cough |Sore throat|Rash"]
Symptoms lasting x [text name="variable_1" default=""] days.

[checkbox name="variable_2" value="tacline temp|measured temp"][text name="variable_2" default=""]

Associated Symptoms:

[checklist name="variable_2" value=" Decrease PO Intake |Being fussy|decreased appetite|vomiting|diarrhea|foul-smelling urine|complaining of ear pain or pulling at ears|rash noted in mouth, on cheeks, on hands or feet|red conjunctivae|Sore throat|cough|signs of increased respiratory effort or wheezing|ill contacts|child attends daycare"]



Treatment:
[checklist name="variable_3" value=" Advil|Tylenol|OTC cough medication"]


O: GEN: Child appears «normal»«agitated»«lethargic». Vitals: «See above»
«Child is well-hydrated, with moist mucous membranes, eyes not sunken, and skin turgor normal.»
SKIN: «No rashes noted on skin»
ABDO: «Soft, not tender, normal bowel sounds»
HEENT: «No swollen lymph nodes, normal pharynx, normal tympanic membranes bilateral.»
RESP: «Good air entry bilateral, no wheezes or crackles»
CVS: «Normal heart sounds»
MSSK: «Neck supple»

A: «Viral illness NYD»

P: «Advised parents to come back if fever has lasted more than 5 days total.»
«Advised parents to come back if child can not keep fluids down for 12 hours.»
«Advised parents to bring child back if symptoms change or parents are worried.»
«To encourage good intake of fluids and to treat fevers with ibuprofen and/or acetaminophen as directed.