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NAME: LAGRONE,

MICHAEL. S (M)

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Mom has pictures on her phone of the r a sh (which is mostly gone th i s mOf'ni nq) although unclear' and not easy to distinguish. Parent denies fever, vesicles, and eXpOSl.W2 to newall'?i"'gens. He also came home with mild diarrhea and a diaper rash. Dad has dogs at home. ROS is also negative for r-h i nor-r-he a, cough, sore +hr oat , vomiting and diarrhea. Cur-r ant meds -none
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ALLERGIES'

Ace #:
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34826.1
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Child's Name: 0A \0Yv

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Name ofPerson Bringing Child: l\i\t:b<.\ \ ScwhD Relation toChild:
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Known Drug Allergies: 1') t\= Reason forVisit: OSick DWell o Recheck q:iv'accine Only Symptoms: Under 12 months: 0 BreastMilk ~ormula Type offormula: ~~~. WIC Participation:JZl-Yes ONo Vitamins/Medications~ \\2,

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GEN: happy, s l er t , playful s pe ar l 'y' HEENT- PERRLA, EOMI, Tl'rl' qr a y, Oropharynxwithout erythema or exudate CHESTCTAB CV- RRR, no lTlunnut' ABD- soft, NT, ND + bs , no masses, no HSM skinfew small s crat ch es on back of neck, no bruises or other
r ashe s

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GU- normal

genitalia,

no ra sh e s

A: Rash- likely der'mat it i s f r oa clothing/bedding, of abuse on exam

irricant etc. no signs
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in detail with P: I discussed mom signs to look for regarding abuse or neglect. i axp l a i ne d that the baby looks good on exam and that the things mom is upset about are not cause for DCF investigation but that she continues to document her concerns and to bring him in immediately for any signs of r recommended sitting abuse. down with Dads mother to discuss care of the baby and that i recommend no smoking in the sugar water, h o a e , avoiding changing diapers frequently and checking their pets for fleas. fu pr'n and wcc Document Electronically Signed by Nichelle Wi l l i an s , M. D. ~. ,. d T' ~~ • 1 1 Z:' . 1 III e am p : ~'~~'o0'C...J i '-:--. 1 !ZI : ,jo: 1,:, A .--; J1 \..

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180, red reflex

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