EVALUATOR
ENS Gha'Kahrr
ENS Gha'Kahrr
AUTHORITY
Medical Officer
Medical Officer
MEDICAL FILE
PATIENT’S NAME:
ENS Felenn
APPOINTMENT STARDATE:
99635
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment
CONCLUSION
Patient is within health standards for species and age. Fit for full duty.
SUBJECTIVE FINDINGS
Patient states they are in relative good health. Arrived with minor muscle fatigue associated with exercise, which has been treated with a relaxant and recommendation for a good naturally healing food.
OBJECTIVE FINDINGS
Scans detected an older deep bruise or sprain that is the result of a fall down a ladderwell and improperly treated by patient. Injury has been corrected.
PLAN OF CARE
N/A
Review of Physiological Systems
| Section | Status | Comment |
|---|---|---|
| HEENT | NAD | Responses normal. |
| Respiration | CTA | Responses normal. |
| Cardiovascular | NAD | Pulse and pressure within normal limits. |
| Abdominal | NAD | NBS, all scans clear. |
| Extremities | NAD | Responses normal. |
| Neurological | NAD | Patient was coherent, coordinated and responsive WNL. |
LENGTH OF APPOINTMENT: 1.023hrs
END OF EVALUATION.