Blake Photo Time-Line

ONLC PEDIATRICS OCHSNER, BATON ROUGE REGION LA

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72011186970 Enc. Date 9/3/2020

Progress Notes (continued)

Progress Notes by Lois H. Gesn, MD at 9/3/2020 4:40 PM (continued) Author: Lois H. Gesn, MD Service: —

Author Type: Physician

Filed: 9/3/2020 5:32 PM

Encounter Date: 9/3/2020

Creation Time: 9/3/2020 5:28 PM

Status: Signed

Editor: Lois H. Gesn, MD (Physician)

Subjective:

Blake John Grondin is a 6 m.o. male here with grandmother. Patient brought in for Well Child

History of Present Illness : Well Child Exam Diet - WNL - Diet includes formula and solids Growth, Elimination, Sleep - WNL - Growth chart normal and sleeping normal Physical Activity - WNL - active play time Behavior - WNL - Development - WNL -Developmental screen School - normal -daycare Household/Safety - WNL - safe environment, adult support for patient and appropriate carseat/belt use

Review of Systems Constitutional: Negative for activity change, appetite change and fever. HENT: Positive for congestion. Negative for mouth sores. Eyes: Negative for discharge and redness.

Respiratory: Positive for cough. Negative for wheezing. Cardiovascular: Negative for leg swelling and cyanosis.

Gastrointestinal: Negative for constipation, diarrhea and vomiting. Genitourinary: Negative for decreased urine volume and hematuria. Musculoskeletal: Negative for extremity weakness. Skin: Negative for rash and wound.

Objective:

Physical Exam Constitutional: Appearance: He is well-developed. He is not toxic-appearing. HENT: Head: Normocephalic and atraumatic. Anterior fontanelle is flat. Right Ear: Tympanic membrane and external ear normal. Left Ear: Tympanic membrane and external ear normal. Nose: Congestion present. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Eyes: General: Lids are normal. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Generated on 7/19/22 2:38 PM

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