Bureau of Prisons medical exam for Jeffrey Epstein at MCC New York, July 2019

EFTA00073888¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:¶

Provider:¶

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Mouth¶

Lesions: No

Oral/Buccal Mucosa: Yes

Gums Normal: Yes

Tonsils Present: Yes

Tonsils Normal: Yes

Pharynx: Normal Color

Teeth Poor Dentition: No

Teeth Count: Mostly Present

Dentures: No

Mouth Comments:

Cranial Nerves:¶

Intact II-XII: Yes¶

Cranial Nerves Comments:¶

Neck:¶

Full ROM: Yes

Masses/Nodes: No

Trachea: Midline

Thyroid: Normal Size

Comments:

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Breasts:¶

Withheld pursuant to exemption¶

(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶

of the Freedom of Information and Privacy Act¶

Normal: Yes¶

Masses: No¶

Tenderness: No¶

Scars: No¶

Dimpling:No

Nipple Discharge:No

Nipple Retraction:No

Comments:¶

Instructions for Self Breast Exam Given: No¶

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Bureau of Prisons - NYM¶

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EFTA00073889¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:¶

Provider:¶

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Thorax:¶

Contour Normal: Yes

Increased AP Diameter: No

Asymmetrical Expansion: No

Lungs Clear: Yes

Wheezes: No

Crackles: No

Rhonchi: No

Rales: No

Accessory Muscle Use: No

Comments:

Spine:¶

Deformity: No

Full ROM: Yes

Tenderness: No

Comments:

Cardiovascular:¶

RRR: Yes

Normal S1/S2: Yes

Murmurs: No

Carotid Bruits: No

JVD: No

Arteries:

Radial:

Femoral:

Dorsalis Pedis:

Post. Tibialis:

Page 059 of 148¶

Withheld pursuant to exemption¶

(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶

of the Freedom of Information and Privacy Act¶

Right¶

Left¶

Comments:¶

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Bureau of Prisons - NYM¶

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EFTA00073890¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:¶

Provider:¶

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Abdomen:¶

Normal Contour:Yes

Scaphoid:No

Obese:No

Gravid:No

Hernias:No

Bruits:No

Masses:No

Scars:No

Tenderness:No

Organomegaly:No

Active Bowel Sounds:Yes

Comments:

Extremities:¶

Page 060 of 148¶

Withheld pursuant to exemption¶

(b) (6) ; (b)(7)(A) ; (b)(7)(C)¶

of the Freedom of Information and Privacy Act¶

Strength:	Right	Left
Arm:
Leg:
Full ROM:	Right	Left
Arm:	Yes	Yes
Leg:	Yes	Yes
Comments:

Comments:¶

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Bureau of Prisons - NYM¶

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EFTA00073891¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:¶

Provider:¶

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Reflexes:¶

Biceps:

Patellar:

Brachioradialis:

Achilles:

Sensation:¶

Vibratory: Yes¶

Light Touch: Yes¶

Pin Prick: Yes¶

Comments:¶

GU:¶

Chaperoned By:¶

Rectum: Not Done¶

Comments: Refused.¶

Male Genitalia: Not Done¶

Comments: Refused.¶

Page 061 of 148¶

Withheld pursuant to exemption¶

(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶

Normal: Yes

Rash: No

Redness: No

Abnormal Pigmentation: No

Abnormal Lesions/Growths: No

Comments:

of the Freedom of Information and Privacy Act¶

Lymphatics:¶

Adenopathy: No¶

Comments:¶

Items For Follow-up:¶

Item¶

Travel Outside US¶

Other Infectious Disease History¶

Rectum Not Done¶

Male Genitalia Not Done¶

PPD Administration Not Performed¶

Comments:¶

Patient has a history of constipation¶

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Bureau of Prisons - NYM¶

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EFTA00073892¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD
Date of Birth:	01/20/1953
Encounter Date:	07/09/2019 12:35

Sex:	M	Race: WHITE
Provider:

Reg #:	76318-054
Facility:	NYM
Unit:	H01

Cleared For Food Services: Yes¶

Health Problems Newly Identified During This Encounter:¶

Health Problem¶

Constipation, unspecified - Current -¶

New Medication Orders:
Rx#	Medication
	Bisacodyl E.C. Tablet

Order Date
07/09/2019 12:35

Indication: Constipation, unspecified¶

Prescriber Order¶

5 mg Orally at bedtime PRN x 10 day(s)¶

Disposition:¶

Follow-up at Sick Call as Needed¶

Instructed inmate how to obtain medical, dental, and mental health care.¶

Copay Required:No	Cosign Required:Yes
Telephone/Verbal Order: No

Completed by on 07/09/2019 13:03¶

Requested to be cosigned by¶

Cosign documentation will be displayed on the following page. 062 of 148¶

Withheld pursuant to exemption¶

(b) (6) ; (b)(7)(A) ; (b)(7)(C)¶

of the Freedom of Information and Privacy Act¶

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Bureau of Prisons - NYM¶

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EFTA00073893¶