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Cassandra Mason/Medical Record: Difference between revisions
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{{Medical Record LCARS | {{Medical Record LCARS | ||
|SERIAL NUMBER= | |SERIAL NUMBER= MU - 037 - 851 | ||
|BIRTHYEAR= | |BIRTHYEAR= 2370 | ||
|BIRTHMONTH= | |BIRTHMONTH= 03 | ||
|BIRTHDATE= | |BIRTHDATE= 25 | ||
|SEX= Female | |SEX= Female | ||
|SPECIES= [[Human]] | |SPECIES= [[Human]] | ||
|HEIGHT= | |HEIGHT= 162 cm (5'3") | ||
|WEIGHT= | |WEIGHT= 59 kilos (132 lbs) | ||
|BLOOD TYPE= | |BLOOD TYPE= A+ | ||
|T/E RATING= T0 | |T/E RATING= T0 | ||
|CHRONIC ILLNESSES= None | |CHRONIC ILLNESSES= None | ||
|MEDICATIONS= None | |MEDICATIONS= None | ||
|ALLERGIES & REACTIONS= | |ALLERGIES & REACTIONS= None currently known | ||
|SEXUAL/REPRODUCTIVE HISTORY= | |SEXUAL/REPRODUCTIVE HISTORY= None current | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
'''238911.10''' <br> | |||
'''Physician's notes:''' Patient treated for multiple contusions, examined for symptoms of concussion, and shows damage resulting from blunt force trauma. Referred to specialist for corrective nerve damage surgery in left shoulder. | |||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
'''SD 239001.12:''' Shoulder surgery <br> | |||
'''Surgeon:''' Michael Danes, MD <br> | |||
'''OR Site:''' Greenwich Hospital <br> | |||
'''Surgeon's notes:''' Nerve damage treatment in left shoulder near axillary nerve. Patient's arm immobilized for a period of 5 weeks to promote healing, followed by regular physical therapy. | |||
|PSYCHIATRIC HISTORY= None | |PSYCHIATRIC HISTORY= History of self-isolation and use of self-soothing coping mechanisms for stress. None considered physically harmful. | ||
|ALCOHOL USE= | |ALCOHOL USE= None | ||
|RECREATIONAL DRUG USE= None | |RECREATIONAL DRUG USE= None | ||
|OTHER SUBSTANCE USE= None | |OTHER SUBSTANCE USE= None | ||
|MOTHER MEDICAL HISTORY= | |MOTHER MEDICAL HISTORY= Unknown; Patient was adopted, no prior medical paperwork is known. Adoptive mothers' medical history is not noted. | ||
|FATHER MEDICAL HISTORY= | |FATHER MEDICAL HISTORY= Unknown | ||
|SIBLING MEDICAL HISTORY= | |SIBLING MEDICAL HISTORY= Asthma, Alcohol allergy; As all siblings are adopted and unrelated biologically, these notes are superfluous | ||
|MARITAL STATUS & SPOUSE= | |MARITAL STATUS & SPOUSE= Single | ||
|CHILDREN= | |CHILDREN= None | ||
|OCCUPATION= | |OCCUPATION= Medical Officer | ||
|DIET= | |DIET= | ||
|EXERCISE= | |EXERCISE= Hiking, when able. Regular yoga sessions. | ||
|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
'''239903.20''' <br> | |||
< | '''Physician's notes:''' Patient sustained serious injury to left shoulder from unknown projectile. Damage to scar tissue from previous trauma event. Possibility of continued harm from substantial nerve damage. <br> | ||
'''239812.08''' <br> | |||
|COUNSELORS NOTE= | '''Physician's notes:''' Minimal surface burns treated, little to no chance of infection. <br> | ||
|COUNSELORS NOTE= Cassandra is significantly germaphobic. For the time being this does not appear to affect her work, however, it does add to her already high levels of anxiety and stress. Patient seems to cope well with the aid of self-taught exercises. | |||
}} | }} | ||
[[Category:Medical Records]] | [[Category:Medical Records]] | ||