subjective Ms. Rand, a 35 year old female, is seen in Nurse Sick Call for a Health Service Request Form complaining of a skin rash with lesions that occurred after she went on outside rec in the direct sun. She included that this has happened before when she spent time in the sun, but not recently, and definitely not this…
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Mr. Castro: Nausea
Mr. Castro is a 28-year-old male who has been incarcerated at the county jail for the last 16 days. He denied medical and mental health problems during the Receiving Screening. He admitted to daily use of marijuana, but denied other drugs and alcohol. Today, you received the Health Services Request form he submitted last evening documenting a 24 hour history…
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Mr. Greenleaf: Mental Health and Alcoholism
Mr. Greenleaf is a 36 year old male who suffers from Bipolar Disorder, alcoholism and chronic back pain. He is well-known to the nurses at the facility as he has been arrested numerous times in the past year for public intoxication. He was last incarcerated approximately three weeks ago, and only stayed for two days at that time. Currently, his medications on intake…
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A Tale of Two Patients: Chest Pain
Mr. Sigmund History: Symptoms: Mr. Johnson History: Symptoms: Obtain Vital signs Mr. Sigmund’s – Blood Pressure 150/82; Pulse 110 beats per minute; Temperature 98.6; Respirations 16 breaths per minute; Oxygen Saturation 98% on room air Mr. Johnson’s – Blood Pressure 150/96; Pulse 98 beats per minute; Temperature 98.6; Respirations 18 breaths per minute; Oxygen Saturation 97% on room air Physical…
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Mr. Powell: Frequent Urination
Mr. Powell is a 42-year-old gentleman with a history of hypertension and substance use disorder who was remanded to your jail this morning on a probation violation. He was living in a sober house in the community for the past 6 months, but returned intoxicated yesterday. He complains of fatigue, frequent urination, excessive thirst, and blurred vision. He also reports…
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