A 23-year-old male with no significant medical history submitted a Health Services Request form for a “bump in his armpit that hurts and is not going away” last evening. He wrote that his cellmate says it is a keloid that looks infected. The request was triaged and Mr. Mitchell was scheduled for Nursing Sick Call the next morning subjective Mr. Mitchell…
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Mr. Flannery: Facial Numbness
subjective A 38-year-old previously well man presents complaining of new onset left-sided facial droop and numbness upon waking this morning. The patient reports drooling, particularly while drinking or eating, and states his coffee tasted “weird” the last couple of days. He denies any recent illnesses, pain, head trauma, fever, headache, extremity weakness, confusion, anxiousness, abnormal speech, and vision changes, and…
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Mr. Ochoa: Painful Rash
Mr. Ochoa, a 65-year-old gentleman, completed a Health Service Request form for a complaint of upper chest pain that radiates to his side with a rash. It has been getting worse over the last 2 days. He reported that he had been using Ibuprofen from the commissary without effect. Nursing Sick Call Evaluation Mr. Ochoa was seen in Nursing Sick Call that…
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Mr. Ramus: Developing Confusion
You are the Intake/Booking nurse when Mr. Ramus is arrested and brought to the county jail on Friday evening. He is 28 years old, denies any medical or mental health history, but does admit to using alcohol and methamphetamines “recreationally” for “a while”. When asked to define “recreationally,” he states, “you know, a little every day …. for fun. I am definitely…
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Ms. Russell: Muscle and Joint Pain
You are working in a prison in New England. It is August. subjective Ms. Russell is a 38-year-old woman who presents to the clinic after dropping a Health Service Request for muscle and joint pain that began a few days ago. She is on the outside work detail at the local national park, and works in the forest Monday through Friday….
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