CC/HPI:
Mrs X is a 13 year old female who presents to the clinic with a chief complaint of "difficulty swallowing". The onset has been gradual and over the past year. She has no other complaints today.

ROS: 
She denies any metallic taste or burning sensation in her throat. She denies diarrhea, constipation, or changes in stool.

Past Medical History:
Mrs X has a history significant for mild intermittent asthma. She has no other past medical history. 

Past Surgical History:
Mrs X has never had a surgery to include wisdom teeth. 

Allergies:
Mrs X has seasonal allergies. She denies any other allergies at this time to include penicillins or foods or latex. 

Medications: 
Mrs X is on a short acting inhaler. She takes a multivitamin. She takes the aforementioned omeprazole 20mg daily. She takes no other medications.

Physical Exam:
Vitals:
Tcurrent 98.7 BP 115/75 HR 60 RR 20 SpO2 99% on room air.

Head Eyes Ears Nose Throat: There is no conjunctivitis.  
Cardiovascular: No murmors rubs or gallops. 
Pulmonary: Her lungs are clear to auscultation bilaterally. 
Gastrointestinal: Her abdomen is non distended without masses appreciable. 
Lower Extremity: Her lower extremities are well perfused. There is no edema. 

Labs/Ancillary:
There are no labs at time of current encounter.

Assessment and Plan:
Mrs X is a well appearing cheerful young woman in no acute distress. Her food related allergies that seem to localize around her lips and mouth raise a concern for EoE (eosinophilic esophagitis).

