Aine Sherlock/Medical Record: Difference between revisions

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|SEXUAL/REPRODUCTIVE HISTORY= Former longterm male partner, no longer active, prior pregnancy (see notes).
|SEXUAL/REPRODUCTIVE HISTORY= Former longterm male partner, no longer active, prior pregnancy (see notes).
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS=
*'''2380:''' Broken arm
*'''2380:''' Broken right forearm
|PAST SURGICAL HISTORY=
|PAST SURGICAL HISTORY=
None
None

Revision as of 04:02, 25 December 2020

Starfleet Medical.png

Aine Sherlock

MEDICAL RECORD
  • Height: 161 cm
  • Weight: 45.8 kg
  • Blood Type: O+
  • T/E Rating: T0

PAST MEDICAL HISTORY

  • Chronic Illnesses: None
  • Medications: None
  • Allergies and Reactions: None
  • Sexual/Reproductive History: Former longterm male partner, no longer active, prior pregnancy (see notes).

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • 2380: Broken right forearm

PAST SURGICAL HISTORY

None

PSYCHIATRIC HISTORY

Prior counseling for depression in 2394 (see notes).

SUBSTANCE USE HISTORY

  • Alcohol: Infrequent
  • Recreation Drugs: None
  • Other: None

FAMILY MEDICAL HISTORY

  • Parent 1 (Mother): None
  • Parent 2 (Father): None
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Security Officer
  • Diet: Omnivorous
  • Exercise: Gymnastics, daily.

PHYSICIANS' NOTES

  • SD 239407.13 - Medical Officer: Marilyn Ward, MD, Starfleet Academy Student Health
  • Medical Assessment: Cadet Aine Sherlock requests consultation for termination of pregnancy. Exam shows patient to be in exceptional physical health. Possibly suffering from depression, suggest seeking counseling. Advised patient on possible procedures.

  • SD 239407.15 - Medical Officer: Marilyn Ward, MD, Starfleet Academy Student Health
  • Addendum: Cadet Sherlock returned and requested to progress with previously discussed procedure. Procedure was conducted in office with no complications.

COUNSELORS' NOTES

  • SD 239407.27 - Counselor: Alexis Winters, Counselor, Starfleet Academy Student Health
  • Counseling Assessment: Cadet Aine Sherlock came in for an initial consultation. Aine appears to be suffering from depression following the ending of a relationship. Describes common symptoms such as sleeplessness, loss of appetite, etc. Recommend continued treatment and reevaluation.

  • SD 239412.10 - Counselor: Alexis Winters, Counselor, Starfleet Academy Student Health
  • Counseling Assessment: After a few months of counseling, Cadet Sherlock appears to have recovered from her depression. Lack of symptoms and return to academic proficiency are apparent. Further counseling only recommended as needed.