Bright Horizons Pediatrics
Provider Chart Review
Active Diagnoses
| Code | Diagnosis | Date | Provider |
|---|---|---|---|
| J45.30 | Moderate Persistent Asthma | Sep 2020 | Dr. Kevin Liu |
| J30.1 | Allergic Rhinitis (perennial + seasonal) | Apr 2019 | Dr. Kevin Liu |
| F90.0 | ADHD, Predominantly Inattentive Type | Oct 2022 | Dr. Amy Nakamura |
| M41.114 | Adolescent Idiopathic Scoliosis, Thoracic (mild) | Nov 2025 | Dr. Amy Nakamura |
| L70.0 | Acne Vulgaris, Mild-Moderate | Jan 2026 | Dr. Amy Nakamura |
| H66.91 | Recurrent Otitis Media (resolved, tubes placed 2015) | Mar 2015 | Dr. Amy Nakamura |
| J21.0 | RSV Bronchiolitis (resolved) | Dec 2012 | Dr. Amy Nakamura |
| S52.501A | Left Distal Radius Buckle Fracture (resolved) | Jul 2021 | Dr. Kevin Liu |
| B07.9 | Common Warts, Bilateral Hands (resolved, treated) | May 2023 | Dr. Amy Nakamura |
| K21.0 | Infant GERD (resolved by 12 months) | Jun 2012 | Dr. Amy Nakamura |
Current Medications
| Medication | Directions | Prescriber | Refills |
|---|---|---|---|
| Fluticasone/Salmeterol 100/50 Diskus | One inhalation twice daily | Dr. Liu | 5 |
| Albuterol HFA 90mcg Inhaler | 2 puffs every 4-6 hours as needed for wheezing or before exercise | Dr. Liu | 3 |
| Montelukast 10mg | One tablet at bedtime | Dr. Liu | 5 |
| Methylphenidate ER 27mg (Concerta) | One tablet every morning before school | Dr. Nakamura | 0 |
| Cetirizine 10mg | One tablet daily | Dr. Liu | 5 |
| Adapalene 0.1% Gel (Differin) | Apply thin layer to face at bedtime | Dr. Nakamura | 2 |
| Benzoyl Peroxide 5% Wash | Use on face once daily in the morning | Dr. Nakamura | 0 |
Recent Lab Results Feb 10, 2026
| Test | Result | Status |
|---|---|---|
| Spirometry FEV1 | 82% predicted | Low |
| Spirometry FEV1/FVC | 0.79 | Low |
| Spirometry FEV1 Post-Bronchodilator | 94% predicted (15% improvement) | Normal |
| Peak Flow (personal best) | 340 L/min | Normal |
| ACT Score | 18 | High |
| FeNO (exhaled nitric oxide) | 38 ppb | High |
Care Plan
| Goal | Target | Current | Status | Next Step |
|---|---|---|---|---|
| Asthma Control | Well-controlled (ACT ≥ 20), rescue use ≤ 2x/week | ACT 18 — exercise-triggered symptoms increasing | active | Asthma visit + spirometry · Apr 8 |
| ADHD Management | Vanderbilt scores in normal range, grades stable | Doing well on Concerta 27mg, teacher reports improved focus | active | Med check + Vanderbilt forms · May 20 |
| Scoliosis Monitoring | Cobb angle stable < 25° | Cobb angle 18° — observe only | active | Repeat X-ray in 6 months · May 2026 |
| Acne Treatment | Clear skin, minimal lesions | Improving on adapalene + benzoyl peroxide, some closed comedones | active | Reassess at annual physical · Sep 2026 |
| Adolescent Wellness | Age-appropriate development, PHQ-A screening | PHQ-A score 3 (minimal), menarche age 12 | active | Annual physical + HPV dose 2 · Sep 2026 |
| Immunization Schedule | Up to date per CDC adolescent schedule | Tdap, MenACWY, HPV dose 1 complete — HPV dose 2 due | active | HPV dose 2 at next visit |
| Wrist Fracture Recovery | Full ROM, pain-free | Healed, cleared for sports Aug 2021 | resolved | No follow-up needed |