Blake Photo Time-Line

BRMH EMERGENCY DEPARTMENT 17000 Medical Center Dr Baton Rouge LA 70816

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72014491025 Adm: 10/16/2021

10/16/2021 - ED in O'Neal - Emergency Dept.

ED Arrival Information

Expected

Arrival

Acuity Non-Urgent

Means of arrival Personal Transportation

-

10/16/2021 07:41

Escorted by

Service Emergency Medicine

Admission type Emergency

Chief Complaint Nasal Congestion

FAMILY MEMBER

Arrival complaint poss ear infection,congestion,coughing,fever yesterday

Patient as-of Visit

Allergies as of 10/16/2021

Allergies last reviewed by Leslie Verdin, RN on 10/16/2021 0749 No Known Allergies

Immunizations as of 10/16/2021 Immunization

Administered On

DTaP / HiB / IPV

04/27/2020, 07/09/2020, 09/03/2020 02/14/2020, 04/27/2020, 09/03/2020 04/27/2020, 07/09/2020, 09/03/2020 04/27/2020, 07/09/2020, 09/03/2020

Hepatitis B, Pediatric/Adolescent Pneumococcal Conjugate - 13 Valent

Rotavirus Pentavalent

ED Provider Note

10/16/2021

ED Provider Notes by Nathan P. Freeman, MD at 10/16/2021 0750 Author: Nathan P. Freeman, MD

Service: Emergency Medicine

Author Type: Physician

Filed: 10/16/2021 7:51 AM

Date of Service: 10/16/2021 7:50 AM Status: Signed

Editor: Nathan P. Freeman, MD (Physician)

Encounter Date: 10/16/2021

History

Chief Complaint Patient presents with • Nasal Congestion woke up yesterday with nasal congestion, runny nose, drainage from his eyes.

The history is provided by the mother. Otalgia

The current episode started yesterday. The problem occurs rarely. The problem has been unchanged. There is pain in both ears. There is no abnormality behind the ear. He has been pulling at the affected ear. Nothing relieves the symptoms. Nothing aggravates the symptoms. Associated symptoms include congestion, ear pain and rhinorrhea. Pertinent negatives include no fever, no nausea, no sore throat, no cough and no rash.

Review of patient's allergies indicates: No Known Allergies No past medical history on file. Past Surgical History: Procedure

Laterality

Date

• CIRCUMCISION Generated on 7/19/22 2:38 PM

Page 16