Allergies
Medication: NKDA
Food: No known food allergies
Environment: No known environmental allergies
History of Present Illness (HPI) Chief Complaint (CC): Cough Onset: 5 days ago
Location: Chest
Duration: Fr
...
Allergies
Medication: NKDA
Food: No known food allergies
Environment: No known environmental allergies
History of Present Illness (HPI) Chief Complaint (CC): Cough Onset: 5 days ago
Location: Chest
Duration: Frequent (every couple of minutes without trigger noted) Characteristics: Wet, productive with clear sputum
Aggravating Factors: Unknown triggers
Relieving Factors: Cough medicine alleviated the cough for a short amount of time Treatment: Cough syrup today
Current Medications
Medication Dosage Frequency Length of Time Reason for Use
Past Medical History (PMHx)—
Danny is an 8-year-old male that denies any history of allergies to medications, foods, seasonal, latex or environmental agents. He reports having frequent colds and being diagnosed with pneumonia last year. He takes a daily dose of children’s multivitamin gummies as well as PRN doses of cough syrup to treat episodes of coughing. He reports that his immunizations are up to date and denies any other history of major illnesses (including asthma), hospitalizations, or surgeries.
Social History (Soc Hx)—
Danny is a 3rd grade student with a reported history of missing school for two weeks last year due to pneumonia. He lives with his mother and father and is cared for by his grandmother while his parents are working. English is the primary language spoken in the home with Spanish as an alternate language utilized.
Family History (Fam Hx)—
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