400 Primary Care Provider4-year-old client seen with parent today to discuss sleep disturbances that began approximately 3 weeks ago. Parent reports child is awakening late at night crying and acting scared. Child soothes fairly easily and then returns to sleep. Occurs several times per week. Parent reports consistent bedtime and bedtime routine without significant resistance. Sleeps approximately 12 hours per night with no daytime naps. No recent trauma or events. Child is well and otherwise in good health.General: Alert, interactiveEars: canals clear, tympanic membranes intactNose: nares patentMouth: moist mucous membranes, dentition intactLungs: clear to auscultation to all lung fieldsHeart: regular rate and rhythm, no murmurSkin: warm, well perfusedNeurological: speaks clearly, responsive to questions, symmetric movement of extremities, deep tendon reflexes 2 bilaterally
[Answered]: 400 Primary Care Provider4-year-old client seen…
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