Eileen McCleran/Medical Record: Difference between revisions

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===McCleran, Eileen Lindsey===
===McCleran, Eileen Lindsey===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' SJ - 481 - 705
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' SJ - 481 - 705
*'''Date of Birth: 235905.13 '''
*'''Date of Birth:''' 235905.13
**'''Age:''' {{age|2359|05|13}}
**'''Age:''' {{age|2359|05|13}}
*'''Sex: Female'''
*'''Sex: Female'''
*'''Species: Human'''
*'''Species: [[Human]]'''
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*'''Height:''' 173 cm (5'7")
*'''Height:''' 173 cm (5'7")
*'''Weight:''' 66.5 kilos (146 lbs)
*'''Weight:''' 66.5 kilos (146 lbs)
*'''Blood Type: B+'''
*'''Blood Type:''' B+ (B Positive)
*'''[[T/E Rating]]: 0'''
*'''[[T/E Rating]]:''' 0
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===PAST MEDICAL HISTORY===
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
*'''Chronic Illnesses:'''
*'''Medications: None'''
*'''Medications:''' None
*'''Allergies and Reactions: None'''
*'''Allergies and Reactions:''' None
*'''Sexual/Reproductive History:'''
*'''Sexual/Reproductive History:''' None
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===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''SD 237005.05:'''
*'''SD 236707.13:''' St. Anthony's Medical Center; patient was hospitalized for exposure to prototype subspace warp field generator. No lasting effect
*'''SD 237007.05:'''
*'''SD 239006.02:''' Bethesda Starfleet Hospital; patient transported by USS Hippocrates for severe injuries received after an explosion at the Clarke Quantum Research Facility on stardate 239006.1. Patient suffered fragmentation lacerations to the face and throat, blunt trauma across the front torso, severe lacerations to the right arm, blunt trauma to the occipital region of the head, severe concussion and 3rd degree plasma burns across 30 percent of patient's body.  Patient did and continues to show signs of neurogenic disruption.  Prognosis is stable but uncertain, at best.
*'''SD 239104.10:''' USS Carpathia; patient presented with upper torso bunt-force trauma to the left shoulder, upper arm and base of the neck.  Shoulder was displaced, shattered and fragments penatrated into the surrounding tissue.  Upper left arm was broken cleanly, no fragmentation.  Left collar bone was broken, with partial penetration into left lung. 


===PAST SURGICAL HISTORY===
===PAST SURGICAL HISTORY===
*'''SD 237005.05:'''
*'''SD 239006.02:''' Patient underwent tissue regeneration, removal of necrotic tissue from plasma burn sights and draining/repair of various hematomas throughout the torso and against the occipital region of the skull.  Lacerations on the patient's right arm penetrated completely through the muscle and tendon tissue, requiring surgical reattachment and regeneration.
*'''SD 237007.05:'''
*'''SD 239104.10:''' Patient underwent tissue regeneration and restructuring of left shoulder joint, removal of bone splinters throughout the surrounding tissue and retraction of left collarbone from lung.  Lung tissue regenerated, muscular regeneration and reset/regeneration of left humerus.
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===PSYCHIATRIC HISTORY===
===PSYCHIATRIC HISTORY===
*'''SD 239011.21''' Patient shows evidence of psychogenic amnesia with regards to, approximately, the past seven years of her life.  Intensive treatment has been assigned.  Diagnosed with severe depression and bipolar disorder w/ mixed affective episodes and brief, non-repeating psychotic disorder.  Treatment for all has been successful and the patient wishes to seek re-evaluation for re-entry into StarFleet with the approval of this institution.


===SUBSTANCE USE HISTORY===
===SUBSTANCE USE HISTORY===
*'''Alcohol:'''
*'''Alcohol:''' Socially to not at all.
*'''Recreation Drugs:'''
*'''Recreation Drugs:''' None
*'''Other:'''
*'''Other:''' None
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===FAMILY MEDICAL HISTORY===
===FAMILY MEDICAL HISTORY===
*'''Mother:'''
*'''Mother:''' None.
*'''Father:'''
*'''Father:''' Lower body trauma and post-traumatic stress disorder.
*'''Siblings:'''
*'''Siblings:''' N/A
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===SOCIAL HISTORY===
===SOCIAL HISTORY===
*'''Marital status:'''
*'''Marital status:''' Single
*'''Children:'''
*'''Children:''' None
*'''Occupation/Assignment:'''
*'''Occupation/Assignment:''' Engineer/StarFleet
*'''Diet:'''
*'''Diet:''' Average - Omnivore w/ heavy meat intake.
*'''Exercise:'''
*'''Exercise:''' Meditative study, jogging (light), martial arts
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===PHYSICIANS' NOTES===
===PHYSICIANS' NOTES===
*'''Medical Officer:'''
*'''Medical Officer:''' ---CLASSIFIED: SIGMA 9---
*'''Medical Assessment:'''
*'''Medical Assessment:''' Prognosis is stable with little to no residual detriment to patient's physical ability.
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===COUNSELORS' NOTES===
===COUNSELORS' NOTES===
*'''Counselor:'''
*'''Counselor:''' ---CLASSIFIED: SIGMA 9---
*'''Psychological Assessment:'''
*'''Psychological Assessment:''' Stable with psychogenic amnesia.
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__NOTOC__
__NOTOC__
[[Category:Medical Records]]
[[Category:Medical Records]]
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