[Verified Answer]: 0900: The 11-year-old child is being seen…

0900: The 11-year-old child is being seen today in the provider’s office. The child and guardian report that the child has a harsh non-productive cough that is worse when they are outside playing with their friends and during the night. The child reports noticing this cough getting worse during their youth camp stay about 1 month ago and at times feels short of breath during these coughing episodes. The guardian also reports that the child has had 3 seizures over the past week. The last one was yesterday morning. It was a tonic-clonic and lasted about 2 minutes. No intervention was needed. These are the first seizure activity the child has had since being given the phenytoin. Child is alert and oriented. Afebrile. Mucus membranes are moist. Respirations are easy and regular. Upon auscultation a slight end expiratory wheeze is noted bilaterally in the bases of the lung. Abdomen is soft and nondistended. No tenderness or masses noted upon palpation. Noted a dry, hyperpigmented, patchy, areas of skin in the antecubital area of both arms. Child reports they are very itchy. Scratch marks and dried blood is noted in these areas. 0930: Venous blood drawn and sent to lab per provider’s prescription. 1030: Bloodwork results are communicated to provider.