EFTA00134756

| Inmate Name: EPSTEIN, JEFFREY EDWARD | Sex: M | Race: WHITE | Reg #: 76318-054 |
| :--- | :--- | :--- | :--- |
| Date of Birth: 01/20/1953 | | | Facility: NYM |
| Encounter Date: 07/14/2019 17:36 | Provider: | | Unit: Z05 |

## Exam:

## Eyes

## Pulmonary

Extraocular Movements Intact

# Cardiovascular

## Auscultation

Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2

No: M/R/G

# Abdomen

## Auscultation

Yes: Normo-Active Bowel Sounds

## Palpation

Yes: Within Normal Limits

## Musculoskeletal

## Tibia / Fibula

No: Edema

## Back

Yes: Tenderness

## Neurologic

## Cranial Nerves (CN)

Yes: Within Normal Limits

## Motor System-General

Yes: Normal Exam

## ASSESSMENT:

<table border="1"><tr><td>Constipation, unspecified, K5900 - Current</td></tr><tr><td>Hyperlipidemia, unspecified, E785 - Current</td></tr><tr><td>Low back pain, M545 - Current</td></tr><tr><td>Neuralgia and neuritis, unspecified, M792 - Current</td></tr><tr><td>Sleep apnea, G4730 - Current</td></tr></table>

## PLAN:

<table><thead><tr><th colspan="2">New Medication Orders:</th></tr></thead><tbody><tr><td>Rx#</td><td>Medication</td></tr><tr><td></td><td>Omega 3 (Vascepa) 1 GM Capsule</td></tr></tbody></table>

<table><thead><tr><th>Order Date</th></tr></thead><tbody><tr><td>07/14/2019 17:36</td></tr></tbody></table>

## Indication: Hyperlipidemia, unspecified

New Laboratory Requests:

Details

Lab Tests-H-Hemoglobin A1C

Lab Tests-L-Lipid Profile

Additional Information:

Generated 07/14/2019 18:11 by

<table><thead><tr><th>Prescriber Order</th></tr></thead><tbody><tr><td>TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) – TAKE WITH FOOD.</td></tr></tbody></table>

Frequency

One Time

Bureau of Prisons - NYM

<table><thead><tr><th>Due Date</th></tr></thead><tbody><tr><td>10/10/2019 00:00</td></tr></tbody></table>

**Priority**

Routine

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SDNY_00001013

EFTA_00000222



EFTA00134757



Generated 07/14/2019 18:11 by

Bureau of Prisons - NYM



SDNY_00001014


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