Ira Maggio ========== Race: White Ethnicity: Non-Hispanic Gender: M Age: 17 Birth Date: 2005-02-11 Marital Status: S -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-02-10[STOPPED] : Ibuprofen 200 MG Oral Tablet 2021-02-20[STOPPED] : Acetaminophen 325 MG Oral Tablet for Acute bronchitis (disorder) -------------------------------------------------------------------------------- CONDITIONS: 2022-02-10 - 2022-02-28 : Laceration of forearm 2021-02-20 - 2021-03-10 : Acute bronchitis (disorder) -------------------------------------------------------------------------------- CARE PLANS: 2022-02-10[STOPPED] : Wound care Reason: Laceration of forearm Activity: Dressing change management Activity: Behavior to prevent infection 2021-02-20[STOPPED] : Respiratory therapy Activity: Recommendation to avoid exercise Activity: Deep breathing and coughing exercises -------------------------------------------------------------------------------- REPORTS: 2022-04-01 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score} 2022-04-01 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} 2021-03-26 : Complete blood count (hemogram) panel - Blood by Automated count - Leukocytes [#/volume] in Blood by Automated count 4.4 10*3/uL - Erythrocytes [#/volume] in Blood by Automated count 5.4 10*6/uL - Hemoglobin [Mass/volume] in Blood 12.5 g/dL - Hematocrit [Volume Fraction] of Blood by Automated count 40.7 % - MCV [Entitic volume] by Automated count 86.6 fL - MCH [Entitic mass] by Automated count 27.5 pg - MCHC [Mass/volume] by Automated count 33.4 g/dL - Erythrocyte distribution width [Entitic volume] by Automated count 45.1 fL - Platelets [#/volume] in Blood by Automated count 343.3 10*3/uL - Platelet distribution width [Entitic volume] in Blood by Automated count 517.7 fL - Platelet mean volume [Entitic volume] in Blood by Automated count 11.9 fL -------------------------------------------------------------------------------- OBSERVATIONS: 2022-04-01 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 4.0 {score} 2022-04-01 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} 2022-04-01 : Tobacco smoking status Ex-smoker (finding) 2022-04-01 : Respiratory rate 16.0 /min 2022-04-01 : Heart rate 73.0 /min 2022-04-01 : Blood Pressure - Diastolic Blood Pressure 82.0 mm[Hg] - Systolic Blood Pressure 116.0 mm[Hg] 2022-04-01 : Body mass index (BMI) [Percentile] Per age and gender 33.5 % 2022-04-01 : Body Mass Index 20.2 kg/m2 2022-04-01 : Body Weight 65.6 kg 2022-04-01 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} 2022-04-01 : Body Height 180.3 cm 2021-03-26 : Tobacco smoking status Smokes tobacco daily (finding) 2021-03-26 : Platelet mean volume [Entitic volume] in Blood by Automated count 11.9 fL 2021-03-26 : Platelet distribution width [Entitic volume] in Blood by Automated count 517.7 fL 2021-03-26 : Platelets [#/volume] in Blood by Automated count 343.3 10*3/uL 2021-03-26 : Erythrocyte distribution width [Entitic volume] by Automated count 45.1 fL 2021-03-26 : MCHC [Mass/volume] by Automated count 33.4 g/dL 2021-03-26 : MCH [Entitic mass] by Automated count 27.5 pg 2021-03-26 : MCV [Entitic volume] by Automated count 86.6 fL 2021-03-26 : Hematocrit [Volume Fraction] of Blood by Automated count 40.7 % 2021-03-26 : Hemoglobin [Mass/volume] in Blood 12.5 g/dL 2021-03-26 : Erythrocytes [#/volume] in Blood by Automated count 5.4 10*6/uL 2021-03-26 : Leukocytes [#/volume] in Blood by Automated count 4.4 10*3/uL 2021-03-26 : Respiratory rate 15.0 /min 2021-03-26 : Heart rate 83.0 /min 2021-03-26 : Blood Pressure - Diastolic Blood Pressure 84.0 mm[Hg] - Systolic Blood Pressure 112.0 mm[Hg] 2021-03-26 : Body mass index (BMI) [Percentile] Per age and gender 29.5 % 2021-03-26 : Body Mass Index 19.3 kg/m2 2021-03-26 : Body Weight 61.6 kg 2021-03-26 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} 2021-03-26 : Body Height 178.8 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-04-01 : Anticipatory guidance (procedure) 2022-04-01 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) 2022-04-01 : Assessment of substance use (procedure) 2022-04-01 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) 2022-04-01 : Depression screening (procedure) 2022-04-01 : Assessment of anxiety (procedure) 2022-02-10 : Injection of tetanus antitoxin for Laceration of forearm 2022-02-10 : Suture open wound for Laceration of forearm 2021-03-26 : Anticipatory guidance (procedure) 2021-03-26 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) 2021-03-26 : Assessment of substance use (procedure) 2021-02-20 : Sputum examination (procedure) for Acute bronchitis (disorder) -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-04-01 : Influenza, seasonal, injectable, preservative free 2021-05-21 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose 2021-04-30 : SARS-COV-2 (COVID-19) vaccine, mRNA, spike protein, LNP, preservative free, 30 mcg/0.3mL dose 2021-03-26 : meningococcal MCV4P 2021-03-26 : Influenza, seasonal, injectable, preservative free -------------------------------------------------------------------------------- ENCOUNTERS: 2022-04-01 (Dr. Clare Marquardt) : Encounter at HEALTHY CONCEPT FAMILY PRACTICE, LLC 2022-02-10 (Dr. Ramiro Llamas) : Encounter at OVERLOOK MASONIC HEALTH CENTER 2021-05-21 (Dr. Logan Fisher) : Encounter at BAYSTATE MEDICAL CENTER 2021-04-30 (Dr. Logan Fisher) : Encounter at BAYSTATE MEDICAL CENTER 2021-03-26 (Dr. Clare Marquardt) : Encounter at HEALTHY CONCEPT FAMILY PRACTICE, LLC 2021-02-20 (Dr. Logan Fisher) : Encounter at BAYSTATE MEDICAL CENTER : Encounter for Acute bronchitis (disorder) -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------