Ms. Burns, a 23 year old woman, submitted a Health Service Request form for cold symptoms that had been ongoing for 2-3 days. She arrives for Nurse Sick Call and you immediately note two things – she is wearing “eye-liner” and her eyes are bloodshot. Ms. Burns tells you that she has been having symptoms for the last 48 hours,…
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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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Mr. Harrison: Lump in his Throat
subjective Mr. Harrison, a 35-year-old man, submitted a Health Service Request form stating he felt like he has a “lump” in his throat. He stated that he has had it in the past, but it did not feel so big before, and he is concerned that he has a growth. He is seen in Nurse Sick call that day. Nursing Sick Call…
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Mr. Mitchell: Axilla “Bump”
A 23-year-old male with no significant medical history submitted a Health Services Request form for a “bump in his armpit that hurts and is not going away” last evening. He wrote that his cellmate says it is a keloid that looks infected. The request was triaged and Mr. Mitchell was scheduled for Nursing Sick Call the next morning subjective Mr. Mitchell…
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Mr. Flannery: Facial Numbness
subjective A 38-year-old previously well man presents complaining of new onset left-sided facial droop and numbness upon waking this morning. The patient reports drooling, particularly while drinking or eating, and states his coffee tasted “weird” the last couple of days. He denies any recent illnesses, pain, head trauma, fever, headache, extremity weakness, confusion, anxiousness, abnormal speech, and vision changes, and…
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