Received Jul 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (INFANRIX) | GLAXOSMITHKLINE BIOLOGICALS | 4 | 5KR3R | IM / RL |
CALL 6/26 : Sent home from daycare for temp 103.9. 15-20" ago temp 104.6. gave Tylenol again. Tired. May have slight runny nose No one else sice in home today but dad had small cold a couple days ago. When sleeping, nose very congested. Plenty of wet diapers. CALL 6/26 AROUNG 9 PM" Mom calls back to report concern that fever is not lowering despite alternating Tylenol and Motrin. 8:45p 103.6 rectal -1.5 hours after pt received Motrin. Mom reports that pt has a "slight runny nose" but only when he is upset. Currently does not have a runny nose. Currently mom reports pt is eating "Ritz Crackers." Pt is able to swallow liquids and mom reports pt has been nursing "a lot today." Last wet diaper: 2045 Pt is able to move his neck and all extremities normally." UC VISIT 06/26/25 "This is an 15 m.o. year old male who presents with fever, mild cough, congestion and 2+ bilateral tonsillomegaly that began today. He is well appearing, breathing comfortably without hypoxia on room air. Systemic involvement is noted by the presence of fever. Symptoms are most likely due to viral etiology. Given the history, exam, and workup I have a low suspicion for bacterial AOM, bacterial pharyngeal pathology, bacterial pneumonia or sepsis. Plan: Ongoing supportive care including APAP/NSAIDs for fever/pain Continued electrolyte rich fluid intake Follow Up: PCP or Urgent Care in a few days for recheck if not improving Specific reasons to go to the emergency department were discussed if worsening
NK
N/A
Ferrous Sulfate 5 MG/20ML Solution
NKA
n/a