Subjective
Angelina Torres is a nine-month-old Mexican American
girl. For the past two and a half days, she has had a fever of 102 to 103 degrees F. She is not eating well and is generally fussy, but consolable. She has three siblings, none of whom are ill at the present time. She does not have any rashes, runny nose, cough, diarrhea, or vomiting.
PMH:
Angelina was born full-term, is at 50% for height and weight and has been growing and developing normally. She recently started eating more table food, in addition to baby cereals, vegetables, fruits, and meats. She drinks a soy-based infant formula. Her immunizations are up to date. Other than two mild URI’s between four and seven months, she has not been diagnosed with ear infections or any other significant childhood illnesses.
Objective
