Detainee claimed that while he was being captured in Altlafia by U.S. forces soldiers hit him in the stomach, nose and mouth area with their fists. The doctor who saw the detainee on June 15, 2004 stated that he did have any bruising. The detainee complained of an itchy rash.
For Official Use Only -Law Enforcement Sensitive -
PRISONER IN·PROCESSING MEDICAL SCREEN
b'_(6)4__________----l
NAME:L_ ICOMPOUND:
DATE; JS .j«lIe~4 @ -DOB:li'8'J'
HISTORY BY TRANSLATOR: YES NO NAME OF TRANSLATOR: -AI,'
~ -------
O/~-' 0'1 '" r JT)l5q~ Janr 0074"()4{....
b)(_2~_i__-.I
ISN :/"....)(_6)4_--, AGE: 19
I) DO YOU HAVE ANY NEW MEDICAL PROBLEMS OR INJURIES NOW? Y'g...sJ.. --;-w-.i~
2) HAVE YOU HAD TUBERCULOSIS? IF YES, WHEN AND HOW WERE YOU TREATED?
A) HAVE YOU HAD A COUGH FOR MORE THAN 2 WEEKS? YES ~....... '
B) HAVE YOU BEEN COUGHING UP BLOOD? _YES N
C) HAVE YOU BEEN LOSlNG A LOr OF WEIGHT? YES
3) CHRONIC MEDICAL PROBLEMS (DIABETES. HYPERTENSION. HEART DISEASE):
~~-
4) MEDICATIONS: ~
',v
5) ARE YOU ABLE TO WALK UNASSISTED? NO _6) ARE YOU ABLE TO FEED YOURSELF? ~NO 7) ALLERGIES TO MEDICATIONS? ~
?,.:'
_ IS~ , "
8) PULSE: }d 7 BLOOD PRESSURE: /1'1 RESPIRATORY RATE: /-a
17VL/ -
WEIGHT: J.r~ HEIGHT:$' 'r /1
fQo .1'01~~
9) HAVE YOU BEEN MISTREATED SINCE BEING [N US CUSTODY? @ NO
If Yes Explain:
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J{..$ c,eWlreV Ill,) 'il.. l.1~'Y -;;'t-AIIDh-.fj~ 3 so~ ~'("
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A YES TOQ STIONS 1-4 REQUIRES REFERRAL TO MD OR PAt UNLESS MINOR PROBLEM FOR QUESTION 1. A NO TO QUESTION 5 OR6 ALSO REQUIRES MOfPA EVALUATlQN.40 YES TO QUESTION 9 REQUIRES IMMEDIATE MDIPA NOTIFICATION.
MDIP A FOLLOW UP NOTE DATE: / S f{)JIJ 0'-1
ASSESMENT:
RECCOMENDATION:
SIGNATURE:
For Official Use Only Law Enforcement Sensitive 7 MEDCOM -987 ._-----------------.------
DOD 004050