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{{Citation|Starfleet Academy Graduate Ribbon|Year or Stardate|Starfleet Academy|Awarded to those who have graduated from Starfleet Academy.}} | {{Citation|Starfleet Academy Graduate Ribbon|Year or Stardate|Starfleet Academy|Awarded to those who have graduated from Starfleet Academy.}} | ||
{{Ribbons Display End}} | {{Ribbons Display End}} | ||
[[Category:Medical Records]] | |||
{{Heading|Medical Record|Gold}} | {{Heading|Medical Record|Gold}} | ||
{{Medical Record LCARS | |||
|BIRTHYEAR= 2377 | |||
|BIRTHMONTH= | |||
|BIRTHDATE= | |||
|SEX= Male | |||
|SPECIES= [[Human]] | |||
|HEIGHT= 6"4' (193 cm) | |||
|WEIGHT= 205lbs | |||
|BLOOD TYPE= AB | |||
|CHRONIC ILLNESSES= None | |||
|MEDICATIONS= None | |||
|ALLERGIES & REACTIONS= | |||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |||
*'''2379:''' | |||
*'''2390:''' | |||
|PAST SURGICAL HISTORY= | |||
'''SD 239804.15: USS Conway Medical Facility - Emergency Treatment:''' | |||
'''Severe physical trauma sustained from shuttlecraft incident:''' | |||
'''Initial Assessment:''' | |||
*Upon arrival via emergency transporter to the USS Conway, Cadet Lhandon Joseph Nilsen was unconscious and presented with a severe broken ankle as the primary injury. Further examination revealed possible signs of a concussion. Vital signs were stable, but immediate medical intervention was required. | |||
'''Treatment::''' | |||
*Broken Ankle: A complete fracture of the right ankle was diagnosed. Stabilization and immobilization were performed using a hypospray to administer a bone-regenerating agent. A medical brace was applied to support the affected area. | |||
*Concussion: Due to the impact of the crash, signs of a concussion were evident. Nilsen was closely monitored, and cognitive tests were conducted once he regained consciousness. | |||
'''Follow up:''' | |||
*His ankle fracture is healing with the applied bone-regenerating agent and the use of a medical brace. The concussion will require close monitoring, and he is advised to rest and avoid strenuous activities until fully recovered. | |||
*As a survivor of a traumatic event, Lhandon may benefit from counseling or support group sessions to address any emotional or psychological challenges resulting from the shuttle crash | |||
Broken Nose: | '''SD 239706.25: San Francesco Medical Facility - Walk in:''' | ||
'''Broken Nose from Rugby Injury:''' | |||
'''Initial Assessment:''' | |||
*Upon examination, the patient presented with a broken nose sustained during a rugby match. He reported a direct impact to the nose from a collision with another player. | |||
'''Treatment::''' | |||
*Broken Nose: The physical examination confirmed a displaced fracture of the nasal bone, resulting in significant swelling and tenderness around the nasal region. | |||
* Epistaxis: The patient experienced a moderate level of epistaxis (nosebleed) as a result of the injury, which was managed promptly. | |||
*Pain Management: Appropriate pain medication was prescribed to manage discomfort and promote a more comfortable recovery. Cadet refused stating that “he was fine and had much worse on the farm” | |||
'''Follow up:''' | |||
*Patient comment caused concern, prior medical logs were requested from Gault. Found these logs to be lacking in detail. Suggest further guidance and training for medical professionals on Gault in the logging of patient records. | |||
|PSYCHIATRIC HISTORY= | |||
| | |ALCOHOL USE= | ||
|RECREATIONAL DRUG USE= | |||
|OTHER SUBSTANCE USE= | |||
|PARENT 1= | |||
|PARENT 1 MEDICAL HISTORY= | |||
|PARENT 2= | |||
|PARENT 2 MEDICAL HISTORY= | |||
|SIBLING MEDICAL HISTORY= | |||
|MARITAL STATUS & SPOUSE= | |||
|CHILDREN= | |||
|OCCUPATION= | |||
|DIET= | |||
|EXERCISE= | |||
|PHYSICIANS NOTE= | |||
|COUNSELORS NOTE= | |||
}} | |||
{{Crewnav|USS Oumuamua}} | {{Crewnav|USS Oumuamua}} |
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