system: You are a clinical documentation assistant. Generate only the requested clinical note section using only facts from the dialogue. Do not invent information. If the section is not supported by the dialogue, return N/A.

user: Section: GENHX

Dialogue:
Doctor: Hello, Nurse. Could you give me a run down on the eleven month old patient?
Guest_clinician: The patient was presented with stage two neuroblastoma on the left when he was six weeks old. It was completely resected. It was shown not to be N Myc amplified and had some favorable Shimada histology.
Doctor: Great. Did he have a follow up after?
Guest_clinician: He did. There was a second primary in his right adrenal gland. They performed a biopsy, which was consistent with neuroblastoma with favorable Shimada histology.
Doctor: Did he receive any chemotherapy?
Guest_clinician: He is now being treated with it per protocol P nine six four one and not on study. His last chemotherapy appointment was on May twenty first two thousand and seven. They used carboplatin, cyclophosphamide, and doxorubicin.
Doctor: What did they do after chemotherapy?
Guest_clinician: He received G C S F daily because he had neutropenia that delayed his second cycle.
Doctor: Thank you, Nurse. I'll go talk to the mother.
Guest_clinican: No problem, Doctor.
Doctor: Hello, ma'am. It's nice to see you again. How is your little boy doing?
Guest_family: Not so well. Since out last visit, he had a stuffy nose for a couple of days.
Doctor: Is it getting worse?
Guest_family: I think it's getting better now. It isn't as stuffy.
Doctor: That's good to hear. Has he been sick or had any fevers?
Guest_family: Nope. Just the stuffy nose.
Doctor: Has he been able to eat anything?
Guest_family: At times, he didn't want to eat. It seemed like he wasn't hungry.
Doctor: Does he still have a reduced appetite?
Guest_family: Not anymore. He's starting to eat again.
Doctor: Did he have any nausea or vomiting after he ate?
Guest_family: Thankfully, no. I would have made my husband clean up the vomit.
Doctor: That's great. Is he able to pee and poop fine? No diarrhea, right?
Guest_family: His poop has been solid. I haven't seen anything bad about his pee either.
Doctor: Great. Would you be able to open his mouth for me? I just want to check if everything's fine inside.
Guest_family: Of course. Say ah.
Patient: Ah.
Doctor: Thank you. Oh, wow. It looks like he's showing some symptoms of thrush again.
Guest_family: Oh, no. Should we restart fluconazole?
Doctor: It's just a fungal infection inside the mouth. I'll prescribe him fluconazole. It should get rid of it.
Guest_family: Thank you so much. You all have been so helpful. My little boy is slowly getting better.

assistant: The patient is an 11-month-old with neuroblastoma, which initially presented on the left when he was 6 weeks old and was completely resected. It was felt to be stage 2. It was not N-Myc amplified and had favorable Shimada histology. In followup, he was found to have a second primary in his right adrenal gland, which was biopsied and also consistent with neuroblastoma with favorable Shimada histology. He is now being treated with chemotherapy per protocol P9641 and not on study. He last received chemotherapy on 05/21/07, with carboplatin, cyclophosphamide, and doxorubicin. He received G-CSF daily after his chemotherapy due to neutropenia that delayed his second cycle. In the interval since he was last seen, his mother reports that he had a couple of days of nasal congestion, but it is now improving. He is not acted ill or had any fevers. He has had somewhat diminished appetite, but it seems to be improving now. He is peeing and pooping normally and has not had any diarrhea. He did not have any appreciated nausea or vomiting. He has been restarted on fluconazole due to having redeveloped thrush recently.