Lyanna Avery/Medical Record

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LAST NAME, FIRST NAME MIDDLE NAME

MEDICAL RECORD
  • Height: 170.7 cm (5'6")
  • Weight: 63.5 kilos (140 lbs)
  • Blood Type: O Negative
  • T/E Rating: 0

PAST MEDICAL HISTORY

  • Chronic Illnesses: L. Avery has no known long-term, chronic illnesses or medical maladies.
  • Medications: Standard Starfleet Immuno-Hypospray received annually. No other medications on file.
  • Allergies and Reactions: NOTE: SEVERE allergic reaction to Bajoran homeopathic medical treatment. This is likely due to a specific reaction to Makara Root, although all local medicinal remedies should be avoided due to cross-contamination concerns.
  • Sexual/Reproductive History: L. Avery has identified as sexually active. L. Avery has no known reproductive history.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 238910.17:
    • While on outdoor, planetary survival excursion L. Avery was diagnosed with Terran Pneumonia following long-term exposure to temperatures below -1 degrees Celsius in high-humidity conditions. Upon conclusion of excursion, L. Avery had been ill approximately four days. Chemotherapeutic treatment with multi-hypospray antibiotics alleviated condition within five more days.

PAST SURGICAL HISTORY

  • SD 237502.24:
    • As a child, L. Avery underwent outpatient surgery to remove her appendix. Surgery was performed at the Federation Civilian Hospital, San Francisco, Earth. There were no complications reported.

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: L. Avery reports limited to moderate alcohol consumption, consisting of 3-5 drinks per week.
  • Recreation Drugs: L. Avery reports no current or prior use of any recreational drugs. L. Avery has never given positive indication on any Starfleet drug test.
  • Other: L. Avery reports above-average caffeine consumption, primarily through liquid intake consisting of Terran coffee and Klingon Raktajino. There have been no negative side-effects reported by the patient.

FAMILY MEDICAL HISTORY

  • Mother:
  • Father:
  • Siblings: L. Avery has no siblings.

SOCIAL HISTORY

  • Marital status: L. Avery is single and reports no long-term romantic involvement.
  • Children: L. Avery has no children, biological or otherwise.
  • Occupation/Assignment:
  • Diet:
  • Exercise:

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment: