| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
|---|---|
| Date of Birth: | Sex: M Race: WHITE |
| Encounter Date: 07/09/2019 12:35 | Provider: MLP |
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 |
| Arteries: | Right | Left |
|---|---|---|
| Radial: | ||
| Femoral: | ||
| Dorsalis Pedis: | ||
| Post. Tibialis: |
Comments:¶
Generated 07/09/2019 13:03 by¶
MLP¶
Page 10 of 13¶
Bureau of Prisons - NYM¶
CONFIDENTIAL¶
SDNY_00009437 EFTA00139342¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
|---|---|
| Date of Birth: | Sex: M Race: WHITE |
| Encounter Date: 07/09/2019 12:35 | Provider: MLP |
| 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:¶
| Nails Clubbing: No |
| Nails Cyanosis: No |
| Lower Extremity Edema - Right: None |
| Lower Extremity Edema - Left: None |
| Atrophy: No |
| Amputations: No |
| Other Deformities: No |
| Varicosities: No |
| Calf Tenderness: No |
| Pulse Deficit: No |
| Strength: | Right | Left |
| Arm: | ||
| Leg: | ||
| Full ROM: | Right | Left |
| Arm: | Yes | Yes |
| Leg: | Yes | Yes |
| Comments: |
Generated 07/09/2019 13:03 by¶
MLP¶
Page 11 of 13¶
Bureau of Prisons - NYM¶
CONFIDENTIAL¶
SDNY_00009438 EFTA00139343¶
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.¶
Skin:¶
- Normal: Yes
- Rash: No
- Redness: No
- Abnormal Pigmentation: No
- Abnormal Lesions/Growths: No
Comments:¶
Lymphatics:¶
- Adenopathy: No
Comments:¶
Potential 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.
Generated 07/09/2019 13:03 by¶
MLP¶
Bureau of Prisons - NYM¶
Page 12 of 13¶
CONFIDENTIAL¶
SDNY_00009439 EFTA00139344¶
| Inmate Name: EPSTEIN, JEFFREY EDWARD | Sex: M | Race: WHITE | Reg #: 76318-054 |
|---|---|---|---|
| Date of Birth: | Facility: NYM | ||
| Encounter Date: 07/09/2019 12:35 | Provider: | MLP | Unit: H01 |
Cleared For Food Services: Yes¶
Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current -¶
New Medication Orders:¶
| Rx# | Medication | Order Date | Prescriber Order |
|---|---|---|---|
| Bisacodyl E.C. Tablet | 07/09/2019 12:35 | 5 mg Orally at bedtime PRN x 10 day(s) |
Indication: Constipation, unspecified¶
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 . MLP on 07/09/2019 13:03¶
Requested to be cosigned by MD.¶
Cosign documentation will be displayed on the following page.¶
Generated 07/09/2019 13:03 by¶
MLP¶
Page 13 of 13¶
Bureau of Prisons - NYM¶
CONFIDENTIAL¶
SDNY_00009440 EFTA00139345¶
Bureau of Prisons Health Services Cosign/Review¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
|---|---|
| Date of Birth: | Sex: M |
| Encounter Date: | 07/09/2019 12:35 |
| Provider: | MLP |
| Reg #: | 76318-054 |
|---|---|
| Race: | WHITE |
| Facility: | NYM |
Bureau of Prisons - NYM¶
CONFIDENTIAL¶
SDNY_00009441¶