Epstein Index›Documents›EFTA00035180
💨IMPACT LEVEL 1 — MEH

Epstein File EFTA00035180: Perform and Facial (DS8)

General DocumentDate unavailableEFTA000351801 keyword hits
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This document is a medical record containing clinical notes and examination findings, including orders for a C-spine series and documentation of patient symptoms and denials (right-sided weakness, diplopia, facial droop, difficulty speaking or swallowing, dysuria). The record indicates follow-up at sick call as needed and documents nocturia of approximately 5 times. This appears to be a medical evaluation unrelated to the primary investigative focus.

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PersonKeyword
Excerpt 1
PLEASE **PERFORM** C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome
Excerpt 2
HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, **FACIAL** DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA.

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