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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
Document Type
Medical Record
Date
July 14, 2019
Pages
1
Folder
IMAGES010

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 Page 2 of 3 DOJ-OGR-00026332