Question: ED Provider Notes - All Notes Provider Notes by Funk, Tracy L., M.D. at 8:10 AM Author: Funk, Tracy L, M.D. Service: (none) Author Type:
ED Provider Notes - All Notes Provider Notes by Funk, Tracy L., M.D. at 8:10 AM Author: Funk, Tracy L, M.D. Service: (none) Author Type: Physician Filed: 2:02 PM Note Time: 8:10 AM Status: Signed Editor: Funk, Tracy L., M.D. (Physician) At ED PROVIDER NOTE PCP: Medical Center Date of Arrival: Diagnosis: L AOM. is very well-appearing and well-hydrated with no evidence of meningitis, mastoiditis, pneumonia, or other SBI. Disposition and Plan of Care: -Discharge home Amoxicillin 620 mg PO BID x 10 days -Follow-up and return precautions as per ACI History of Present Illness: Source: Mother and sister CC: RN, congestion, and ear pain History of Present Illness: is a previously healthy 23 month old with tactile fever x 2 days with ear pain since 0300 this morning. +RN and congestion for the past two days. Taking less PO than usual, but urinating normally. No vomiting or diarrhea. No other concerns. Past Medical History: No prior hospitalizations (MR # ) Printed by [113902] at 7/30/14 2:51 PM Page Outpatient Notes ED Provider Notes - All Notes (continued) ED Provider Notes by Funk, Tracy L. M.D. at 8:10 AM (continued) No prior surgeries No ongoing medical conditions
Step by Step Solution
There are 3 Steps involved in it
Get step-by-step solutions from verified subject matter experts
