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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Ms. Myers: Chest Pain and Shortness of Breath
Ms. Myers is a 28-year-old woman who is a military spouse. She arrives to the Booking area after a visit to the local emergency department for recurrent episodes of chest pain. At the emergency department, where she had been going for the same complaint about every 3-4 weeks for the last 6 months, staff did a brief examination and discharged…
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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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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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Ms. Walker: Asthma
Ms. Walker is a 32 year old female recently admitted to the prison from a county jail, where she was incarcerated for nine months during her trial. The transfer summary sheet that accompanied Ms. Walker included a history of atopic dermatitis of her hands, asthma, seasonal allergies and smoking (15 pack years). The summary did not document her last asthma…
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