MDM //

immunizations UTD_, otherwise healthy, not immunocompromised, presenting with fever and malaise. Constellation of symptoms and history concerning for possible UTI_. Patient is extremely well appearing, mentating well, at baseline per parents, lucid and without meningismus. Nonfocal neuro exam with low suspicion for CNS infection. No respiratory distress with low suspicion for pneumonia. No abdominal pain and benign abdominal exam with low suspicion for atypical appendicitis. No overt findings for vulvovaginitis_. UA with some WBC and + LE_. Given symptoms, will treat with Keflex_ for possible upper tract infection. Tolerating PO including juice and crackers in ED. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician discussed. Appendicitis return precautions discussed.



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