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LAST NAME, FIRST NAME MIDDLE NAME
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MEDICAL RECORD
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- Height: 5'4"
- Weight: 125 lbs.
- Blood Type: Not Human
- T/E Rating: E3
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PAST MEDICAL HISTORY
- Chronic Illnesses: none
- Medications: none
- Allergies and Reactions: none
- Sexual/Reproductive History: G0P0 (never pregnant)
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PAST HOSPITALIZATIONS/SERIOUS ILLNESS
- SD 2387.01.01: After having something to drink at a local cafe, Karynn suddenly began feeling ill and then blacked out. She was found by the medical staff to have Hypotension with early kidney failure. The causative agent was found to be anticoagulating her blood and causing internal hemorrhage by destroying her red blood cells. It also appeared to be disabling her white blood cells. She underwent specialized dialysis to remove the agent but spent some time (about a day?) unconscious before waking up. Even after waking up, it took her several hours to sort out the bad dreams she had while in a coma from the memories and events leading up to the infection. It was hypothesized that she was not the intended target, although the actual target and motive were never discovered.
- SD ******.**:
PAST SURGICAL HISTORY
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PSYCHIATRIC HISTORY
SUBSTANCE USE HISTORY
- Alcohol: Occasional, mostly socially
- Recreation Drugs: None
- Other: None
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FAMILY MEDICAL HISTORY
- Mother:
- Father:
- Siblings:
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SOCIAL HISTORY
- Marital status:
- Children:
- Occupation/Assignment:
- Diet:
- Exercise:
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PHYSICIANS' NOTES
- Medical Officer:
- Medical Assessment:
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COUNSELORS' NOTES
- Counselor:
- Psychological Assessment:
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