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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Mr. Ochoa: Painful Rash
Mr. Ochoa, a 65-year-old gentleman, completed a Health Service Request form for a complaint of upper chest pain that radiates to his side with a rash. It has been getting worse over the last 2 days. He reported that he had been using Ibuprofen from the commissary without effect. Nursing Sick Call Evaluation Mr. Ochoa was seen in Nursing Sick Call that…
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Mr. Ramus: Developing Confusion
You are the Intake/Booking nurse when Mr. Ramus is arrested and brought to the county jail on Friday evening. He is 28 years old, denies any medical or mental health history, but does admit to using alcohol and methamphetamines “recreationally” for “a while”. When asked to define “recreationally,” he states, “you know, a little every day …. for fun. I am definitely…
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