A 22 year-old male detainee reports while being interrogated that he was punched in the chest, choked and punched in the back. Happened six days prior to visit at the Al-Mahmudiyah Airport. No bruising evident.
• 0087·04·CID789 0214_04A~I:n.~,9sga25SEPRODUCTION
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MEDICAL RECORD ·1 CHRONOLOqlCAl RECORD OF MEDICAL CARE
DATE SYMPTOM!:), DIAGNOSIS, TREATMENT; TREATING ORGANIZATION (Sign each entiy!
DETAINEE IN-PROCESSING MEDICAL SCREEN
t£, 'JoAJ O-r
SUBJECTIVE: AGE 22 cg)F DOB: 19!i Z-
ANY NEW MEDICAL ILLNESS OR INJURY?
/ly f)e I O/l.ii"~I,lJ-roJu 3-? d2¥S:
,
ANY HISTORY OF TB? YES 1e!§J IF YES. WHEN AND HOW WERE YOU TREATED?
COUGH 2 WEEKS? YES/~
COUGHING UP BLOOD: YES/@)
ANY WEIGHT LOSS? YES/@ IF YES. HOW MUCH AND IN WHAT TIME FRAME?
ANY HISTORY OF HTN? YES/@j) ANY HISTORY OF CAD? YES/®) IF YES, ANY HISTORY OF MI? YES/NO WHEN? ANY HISTORY OF OM? YES~ IF YES. HOW LONG? ANY CHRONIC MEDICAL CONDITIONS NOT MENTIONED ABOVE? YES/~)
CURRENT MEDICATIONS:
NC»J~
MEDICATION ALLERGIES:
,eAltJ4
ABLE TO WALK UNASSISTED? @/ NO ABLE TO FEED YOURSELF? (§I NO ANY MISTREATMENT SINCE BEING DETAINED? @/NO
~b)(6)-4
HISTORY OBTAINED THROUGH TRANSLATOR? §NO NAME: I
-lOSPITAL OR MEDICAL FACILITY STATUS DEPART ./SERVICE IRECORDS MAINTAINED AT
RELATIONSHIP TO SPONSOR SSN/ID NO.
;PONSOR'S NAME
'ATlENT'S IDENTIFICATION: (Far typed or written sntries, givs: Nams· last, first, middle; 10 No or SSN,'_Ssx; I IWARD NO.
REGISTER NO.
Oats of Bi"h; Rank/Grads.)
CHRONOLOGICAL RECORD OF MEDICAL CARE
-JAME: lLb)_(6)_-4_________~
Medical Record STANDARD FORM 600 (REV. 6-97)
SN: fb)(6)-4
'. F.·1(.)FFI CIA.L Prescribed by GSAIICMR ·-US~PA-~2.~ -
FOR.Q... . ~\-1-lSf,.ONLy FIRMR (41 CFR) 201-9.202-1 :OMPOUND:
LAW EMF·. ·mt1'Blll$sENSITIVE -EXHIBtt L-""'"6
MEDCOM -735
.,
DOD 003798
0087-04-CID789
DATE SYMPTOMS. DIAGNOSI.S. TREATMENT. TREATIN
tt.; JON 0'1
OBJECTIVE:
HEIGHT: WEIGHT:
..s'.s ~( /1 f']
BP: I 'tM~ PULSE: Be; RESP: 02%: TEMP:
MEDICS SIGNATURE: tV II
REFER TO PA OR MD 1MMEDIATELY IF:
CURRENTLY HAVING CHEST PAIN, ABNORMAL MENTAL STATUS OR ANY OTHER CONCERNS
MD/PA REVIEW NOTE:
." -~---STANDARD FORM 6001REV. 6-97) BACK. 'I
~ ~ .' USAPA V2.00
LAW E~~ENS:rrIVE
Exm~It··· ~.-~
MEDCOM -736
DOD 003799