Maz Rodan/Medical Record: Difference between revisions
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|EXERCISE= Semi-close contact sports - Basketball, hockey, Running most days. | |EXERCISE= Semi-close contact sports - Basketball, hockey, Running most days. | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
'''USS Khitomer - Medical Log''' | |||
Date: '''240107.08''' | |||
'''Patient:''' Lieutenant Commander Maz Rodan, ''Joined Trill'' | |||
'''Reason for Visit:''' Routine Physical + Symbiont Trauma Inquiry | |||
'''Presenting Concerns''': Patient reported for a scheduled physical examination. Upon routine questioning, the patient declined to answer inquiries regarding physical discomfort (soreness, breathing difficulties, headaches, vision/hearing loss). Additionally, the patient declined a preliminary psychological evaluation. | |||
'''Physical Examination:''' | |||
* Vital signs within normal range: | |||
** Blood pressure: 90/60 mmHg | |||
** Pulse: 72 bpm | |||
** Temperature: 36.1°C | |||
'''Symbiont Trauma Inquiry:''' | |||
* The patient expressed concerns regarding potential past symbiont trauma. Medical Officer Ras El’Heem offered further diagnostics, which the patient consented to. | |||
** A Bioamp Index (BAI) monitor was applied, recording a reading of 108, which falls within the healthy range of 75 to 125 Bioamps. | |||
** The patient described experiencing personality bleed, manifesting as a temporary shift between their own personality and those of past hosts, following a moderate to critical injury sustained during a shuttle crash. The patient described the event as akin to a “wacky Zhian'tara." | |||
** The patient denied experiencing any of the following symptoms commonly associated with symbiont trauma: | |||
*** Loss of coordination | |||
*** Headaches | |||
*** Fatigue | |||
*** Changes in appetite | |||
*** Sensory distortions | |||
'''Diagnosis:''' | |||
* Based on the physical examination and BAI reading, no evidence of current physical symbiont trauma was identified. However, the reported personality bleed suggests a need for further psychological assessment. | |||
'''Recommendation:''' | |||
* Referral to Counselor Jacin Ayemet for a comprehensive psychological evaluation has been ordered. | |||
'''Notes:''' | |||
* The patient's reported personality bleed warrants further investigation to determine the severity and potential long-term effects. | |||
* Continued monitoring of the BAI is advised. | |||
'''Medical Officer:''' | |||
Junior Medical Officer Ras El’Heem | |||
|COUNSELORS NOTE= | |COUNSELORS NOTE= | ||
* '''239708.26''' | * '''239708.26''' |
Revision as of 21:45, 9 July 2024
Maz Rodan
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MEDICAL RECORD | ||
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PAST MEDICAL HISTORY
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PAST HOSPITALIZATIONS/SERIOUS ILLNESSPAST SURGICAL HISTORY
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PSYCHIATRIC HISTORYAll files can be obtained from the Trill Symbiosis Commission SUBSTANCE USE HISTORY
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FAMILY MEDICAL HISTORY
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SOCIAL HISTORY
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PHYSICIANS' NOTESUSS Khitomer - Medical Log Date: 240107.08 Patient: Lieutenant Commander Maz Rodan, Joined Trill Reason for Visit: Routine Physical + Symbiont Trauma Inquiry Presenting Concerns: Patient reported for a scheduled physical examination. Upon routine questioning, the patient declined to answer inquiries regarding physical discomfort (soreness, breathing difficulties, headaches, vision/hearing loss). Additionally, the patient declined a preliminary psychological evaluation. Physical Examination:
Symbiont Trauma Inquiry:
Diagnosis:
Recommendation:
Notes:
Medical Officer: Junior Medical Officer Ras El’Heem | ||
COUNSELORS' NOTES
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