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April 26, 2024

W.V. is a 6-year-old Hispanic boy that was seen today with mom and dad present at in person appointment.

W.V. is a 6 year old male

Chief Complaint

“I need some answers for my sons behavior per mom”

History of Present Illness

W.V. is a 6-year-old Hispanic boy that was seen today with mom and dad present at in person appointment.

Report from mom indicates that patient has been fidgeting a lot and repeats words and actions all the time

Worse after he has had sweets to eat.

Patient was quiet for a while in the chair but soon starts to fidget and play with his fingers (appears to be counting and

making letter signs repeatedly

Was able to answer to questions once mom repeated them in spanish

Appears to be delayed with responses due to being bilingual

Responses to questions asked on the Vanderb questionnaire by mom is in conclusive at this time as teacher at school is

unable to complete since school just started and she is not too familiar with patient

Asked for a couple more weeks in school before she can truly be in a position to complete it

We decided to proceed with starting patient on ADHD medications at this time due to symptoms observed by provider

and moms explanation at school concerns

Provider was able to assist with getting information for center close to home to assess for Autism

Mom was appreciative as she feels like she has not got much help from other professionals

Childrens hospital has a 2 year wait list for appointment at this time

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