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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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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Mr. Riley: Psychosis
You are conducting nursing sick call in a local jail. Mr. Riley, your next patient, submitted a sick call slip indicating he has “right ankle pain.” You obtain the subjective information from Mr. Riley, including any report of trauma to the area and the initiation, duration, and quality of the pain, while beginning your examination of his ankle. Mr. Riley…
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Ms. Martinez: Abdominal Pain
Ms. Martinez is a 26 year old Hispanic female who arrived at the county jail a week ago. The Intake Screening was conducted within 2 hours of her arrival. At that time, she disclosed a history of Gastro-Esophageal Reflux. She denied substance use, except for an occasional alcoholic drink (tequila). She reported that she has had no surgeries or other chronic illnesses. Her…
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Mr. Owens: Toe Pain
Mr. Owens is a 52 year old gentleman with a history of diabetes and hypertension who was mostly non-adherent to medication and follow-up in the community. At the facility, he is prescribed metformin 500 mg BID and lisinopril 20 mg QD. he has been incarcerated for about 10 weeks, and his blood sugars have been averaging 140 mg/DL and his…
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