The family has two English Bulldogs in the home ROS General Mother denies any

The family has two english bulldogs in the home ros

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hour secured gated community and feel safe in their home. The family has two English Bulldogs in the home. ROS General Mother denies any weight loss, fatigue, changes in sleep or eating patterns, fever, chills or sweats. Cardiovascular Mother denies any previous heart conditions, no blue or cold fingers. Skin Mother reports patient to have Mongolian spot on buttocks, denies any skin lesions or rashes, no itchiness. Respiratory Mother reports patient to have chronic cough with congestion, denies any respiratory infections, breathing difficulties, apneic spells, or snoring. Eyes Mother reports continuous thick, yellow/green eye discharge, crusting to eye lashes, and swollen eye lids with redness noted this morning. Gastrointestinal Mother denies any nausea, vomiting, diarrhea, abdominal pain, blood in stools, constipation, bloating or tarry stools. Ears Mother reports purulent drainage from left ear since last night and again this morning. Genitourinary/Gynecological Mother reports no change in amount of wet diapers per day, denies any changes in color of urine. Nose/Mouth/Throat Mother denies drooling or issues swallowing, reports clear rhinorrhea. Musculoskeletal Mother denies any history of injuries; reports patient crawls and stands appropriately. Breast Mother reports no issues. Neurological Mother denies changes in mental status. Heme/Lymph/Endo Mother denies history or anemia, blood transfusions or bleeding disorders. No growth delays. Psychiatric Mother denies irritability or fussiness; reports patient is a happy child. OBJECTIVE Growth Chart Attached Weight 11.2 kg Temp 97.9 BP 96/57 Height 32 inches Pulse 112 Resp 24 General Appearance Healthy appearing male infant in no acute distress. Sitting on Mothers lap, playing with soft baby book. Patient is clean and dressed appropriately, appears well nourished and comfortable with mother and father.
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Skin Skin is normal for ethnicity, warm, dry, clean and intact. No rashes, bruises or lesions noted. HEENT Head: normocephalic, non-tender without lumps, bumps, round with no depressions; hair is sparse and evenly distributed. Eyes: PERRLA. EOMs intact. Purulent bilateral eye drainage with mild orbital edema and redness to eyelids. Eyelashes with yellow crusted discharge. Ears: Canals patent. Right TM pearly grey/Left TM erythematous with purulent discharge, myringotomy tubes noted bilaterally. Nose: Nasal mucosa pink; clear rhinorrhea bilaterally. No septal deviation. No frontal or maxillary sinus tenderness. Neck: Full ROM; no cervical lymphadenopathy; no occipital nodes. Oral mucosa pink and moist, hard and soft palate intact. Pharynx is non-erythematous and without exudate. Two upper and lower teeth noted.
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