Infectious Disease
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S: Child has had a fever for «» days.
Parents have «not» measured the fever.
«Fever has been treated with «Advil»«Tylenol» with good results.»
«Fever was measured at maximum of «» C, measured «oral»«rectal»«axillary».»
«-eating and drinking normally»
«-no vomiting or diarrhea»
«-no foul smelling urine»
«-no complaining of ear pain or pulling at ears»
«-no rash noted in mouth, on cheeks, on hands or feet»
«-no red conjunctivae»
«-no rhinorrhea»
«-no cough»«cough present»,«productive»«non productive»
«-no signs of increased respiratory effort»,«no wheezing.»

«-no ill contacts»
«-child attends daycare»«child is in contact with other children»
«-no travel recently outside the country»

PMX: «Immunizations up to date.»

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.» «Advised roseola»
S: Child has had a fever for «» days.
Parents have «not» measured the fever.
«Fever has been treated with «Advil»«Tylenol» with good results.»
«Fever was measured at maximum of «» C, measured «oral»«rectal»«axillary».»
«-eating and drinking normally»
«-no vomiting or diarrhea»
«-no foul smelling urine»
«-no complaining of ear pain or pulling at ears»
«-no rash noted in mouth, on cheeks, on hands or feet»
«-no red conjunctivae»
«-no rhinorrhea»
«-no cough»«cough present»,«productive»«non productive»
«-no signs of increased respiratory effort»,«no wheezing.»

«-no ill contacts»
«-child attends daycare»«child is in contact with other children»
«-no travel recently outside the country»

PMX: «Immunizations up to date.»

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.» «Advised roseola»
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