EVALUATOR
LT Greene, Rhea
AUTHORITY
Medical Officer
MEDICAL FILE
PATIENT’S NAME: LCDR Blezina
APPOINTMENT STARDATE: 100643.6
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment
CONCLUSION
Patient is of sound health and deemed fit for full active duty.
SUBJECTIVE FINDINGS
Patient reports no complaints or concerns regarding their health.
OBJECTIVE FINDINGS
Patient has no significant prior injuries or conditions and is currently in good health for an individual of her age and species.
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 hr
END OF EVALUATION.
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EVALUATOR
Reese, Heidi, RN (CIV)
AUTHORITY
Nurse
MEDICAL FILE
PATIENT’S NAME: CMDR T’Lyn (( @Mr.Baguette ))
APPOINTMENT STARDATE: 100744.2
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment
CONCLUSION
Cleared for duty.
SUBJECTIVE FINDINGS
Subject is healthy overall.
Though all Hgb was noted as being acceptable but lower than normal for this species in an oxygen rich environment, and subject’s copper levels were on the lower end of the acceptable range for this species. This has been indicated that the subject is at elevated risk of anemia. (1)
OBJECTIVE FINDINGS
All screens passed.
Subject is in good health.
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. |
PLAN OF CARE
Optional: Recommended copper supplement PRN PO or change to copper rich dietary plan. Infusion PRN IV but only if levels drop lower than acceptable. (2)
Notes:
(1) as per SFSMD 2422 ed. via Tricorder
(2) as per SFSMD VIII.0202a Para 13.
LENGTH OF APPOINTMENT: 1 hr
END OF EVALUATION.
OOC
Worked with player to set this up. We wanted the RP to be fleshed-out.
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