Blake Photo Time-Line

ONLC PEDIATRICS OCHSNER, BATON ROUGE REGION LA

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M

Acct #: 72013499100 Enc. Date 6/14/2021 06/14/2021 - Office Visit in O'Neal - Pediatrics (continued)

Outpatient Medications at Start of Encounter as of 6/14/2021 Disp

Refills

Start

End

erythromycin (ROMYCIN) ophthalmic ointment (Taking)

1 Tube

0

4/10/2021

12/16/2021

Sig: Place a 1/2 inch ribbon of ointment into the left lower eyelid TID dextromethorphan 15 mg/5 mL syrup Sig - Route: Take 10 mLs by mouth 4 (four) times daily as needed for Cough. - Oral Class: Historical Med

Medications the Patient Reported Taking

Disp

Refills

Start

End

erythromycin (ROMYCIN) ophthalmic ointment (Taking/Discontinued)

1 Tube

0

4/10/2021

12/16/2021

Sig: Place a 1/2 inch ribbon of ointment into the left lower eyelid TID

Progress Notes

Progress Notes by James A. Wayne Jr., MD at 6/14/2021 1:30 PM Author: James A. Wayne Jr., MD Service: —

Author Type: Physician

Filed: 6/15/2021 9:44 AM

Encounter Date: 6/14/2021

Creation Time: 6/14/2021 1:55 PM

Status: Signed

Editor: James A. Wayne Jr., MD (Physician)

Assessment/Plan: Viral URI

Hand, foot and mouth disease

Viral upper respiratory tract infection diagnosed. Pt also with hand foot and mouth disease. Mother educated and reassured. I advised the parent that antibiotics are neither indicated nor likely to be helpful. Tylenol (acetaminophen) or Motrin/Advil (ibuprofen) may be given for fever or discomfort and supportive care. Offer fluids to promote adequate hydration. Humidifier may help with nasal congestion. RTC/ER prn increased WOB, fever > 5 days, signs of dehydration or for parental questions or concerns.

Subjective:

HISTORY OF PRESENT ILLNESS: 16mo male with congestion, runny nose, cough and eye discharge. Also pulling at right ear. No fever. No SOB or increased WOB, But pt is mouth breathing due to nasal congestion.

Current Outpatient Medications: • erythromycin (ROMYCIN) ophthalmic ointment, Place a 1/2 inch ribbon of ointment into the left lower eyelid TID, Disp: 1 Tube, Rfl: 0 • dextromethorphan 15 mg/5 mL syrup, Take 10 mLs by mouth 4 (four) times daily as needed for Cough., Disp: , Rfl:

Review of patient's allergies indicates: No Known Allergies

Generated on 7/19/22 2:38 PM

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