Patient #5: Julie is a 4 y/o

Patient #5: Julie is a 4 y/o Hispanic female. Mother states Julie “missed her last immunizations and needs to catch up.” The Mother wonders when her daughter will stop wetting the bed. States she just recently started doing it. Keeps putting her hands “down there where she ought not to.” States she is starting to be very introverted. Cries when her mother is leaving for work. States her boyfriend is very attentive to her and keeps her on Tuesdays when she doesn’t have other childcare available. Mother thinks Julie must be nervous or something, so every-once-in-a-while she will give her some of her Xanax to help her relax. No significant PMH. No known drug allergies. Vital Signs WNL. BMI 30. Impressions/Concerns: Health Promotions Recommendations: Growth and Development: Nutrition Recommendations: Exercise Recommendations: Immunizations: Medication Concerns:

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