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Document doj-ogr-00026332
AI Analysis
Summary: This medical exam report documents Jeffrey Epstein's health assessment on July 14, 2019, while in custody at NYM facility. The report lists his diagnosed conditions, including constipation, hyperlipidemia, and low back pain, and outlines a treatment plan with new medication and laboratory requests.
Significance: This document provides insight into Jeffrey Epstein's health conditions and medical treatment while in prison, potentially relevant to investigations or lawsuits related to his incarceration.
Key Topics:
Jeffrey Epstein's medical examination
Health conditions
Treatment plan
Key People:
- Jeffrey Edward Epstein - Inmate being examined
Full Text
Page 2676
Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/14/2019 17:36
Sex: M
Race: WHITE
Reg #: 76318-054
Provider: (b)(6); (b)(7)(C)
Facility: NYM
Unit: Z05
MD
Exam:
Eyes
General
Yes: PERRLA, Extraocular Movements Intact
Pulmonary
Auscultation
Yes: Clear to Auscultation
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:
Constipation, unspecified, K5900 - Current
Hyperlipidemia, unspecified, E785 - Current
Low back pain, M545 - Current
Neuralgia and neuritis, unspecified, M792 - Current
Sleep apnea, G4730 - Current
PLAN:
New Medication Orders:
Rx#
Medication
Order Date
Prescriber Order
Omega 3 (Vascepa) 1 GM Capsule
07/14/2019 17:36
TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD.
Indication: Hyperlipidemia, unspecified
New Laboratory Requests:
Details
Frequency
Due Date
Priority
Lab Tests-H-Hemoglobin A1C
One Time
10/10/2019 00:00
Routine
Lab Tests-L-Lipid Profile
Additional Information:
Generated 07/14/2019 18:11 by (b)(6); (b)(7)(C)
MD
Bureau of Prisons - NYM
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DOJ-OGR-00026332