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Cassandra Mason/Medical Record: Difference between revisions
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|SEXUAL/REPRODUCTIVE HISTORY= None current | |SEXUAL/REPRODUCTIVE HISTORY= None current | ||
|PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | |PAST HOSPITALIZATIONS/SERIOUS ILLNESS= | ||
'''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. | |||
'''239812.08''' <br> | |||
'''Physician's notes:''' Minimal surface burns treated, little to no chance of infection. | |||
'''238911.10''' <br> | '''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. | |||
'''Physician's notes:''' Patient treated for multiple contusions, examined for symptoms of concussion, and | |||
|PAST SURGICAL HISTORY= | |PAST SURGICAL HISTORY= | ||
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|PHYSICIANS NOTE= | |PHYSICIANS NOTE= | ||
|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. | |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]] | ||