Medical Evals

Databank Personnel Records
88
EVALUATOR
CMDR Enys, R.
AUTHORITY
Chief Medical Officer
MEDICAL FILE

PATIENT’S NAME: K’Sarra (@Rinari7)
APPOINTMENT STARDATE: 101133.6

PURPOSE AND CONTEXT OF EVALUATION

Baseline Medical Assessment

CONCLUSION

Patient has no significant illness or injury and is rated fit for duty.

SUBJECTIVE FINDINGS

Patient reports overall good health. Mild sleep deprivation due to adjustment to new shift schedules but no significant impairment to duties. No other concerns were expressed.

OBJECTIVE FINDINGS

Routine medical examination was conducted. Notable findings include:

  • Scarring on the left ear from a childhood injury, no reported hearing impairment.
  • Slight leg length discrepancy (right leg marginally longer than left) – previously treated, no current functional limitations.
  • History of a previously broken tail – fully healed with no residual effects.
  • All vital signs within normal limits. No abnormalities were detected on the scan.

Review of Physiological Systems

Section Status Comment
HEENT NAD Mild scarring on left ear, no functional impairment.
Respiration CTA Responses normal.
Cardiovascular NAD Pulse and pressure within normal limits.
Abdominal NAD NBS, all scans clear.
Extremities NAD Slight leg length discrepancy, no reported difficulties.
Neurological NAD Patient was coherent, coordinated and responsive WNL.

Full examination logs.

PLAN OF CARE

No medical intervention is required at this time. Patient was advised to report any worsening musculoskeletal issues due to leg length discrepancy, especially if it worsens.

Patient is to report to medical if sleep deprivation continues.

LENGTH OF APPOINTMENT: 1.5 hrs
END OF EVALUATION.

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