This medical report on a 30 year-old Iraqi male detainee who complained of dizziness when standing was diagnosed with rheumatic heart. There are no details on the detainee or where he is housed.
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I Diagnosis (From Page 1)
s: DoIng well on Z pack. Now wi ABD pn and aChing
0: HEENT -neg
Neck-neg
Lungs-eTA
COR-RRR
ABD-no HSM
168/98
A: HTN
P: RHD
Atenolol 50mgQD
Cimitidine 400mg BID
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Paqe 2 £~H_ If_
MEDCOM -939
DOD 004002
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!i Comments (From Page 1) Ii~b)(6)-4 I I
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_------------------------__________________ ('It) _____________________________________zi';;y ___~:.L_r:.~(-C (j) 'iff
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I Last--Name------==------------fFirstName;--MI -----------Tinternment Serial Num. --I
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1 EPW/CI Location rrthDate Tsex IHeight !Weight --I
I C-IN CAMP ____ \ 1974/01/01 IM \67 i
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,Physical Condition jEducation Religion Marital Status !
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---IEye Color ------1 Race IBlood--Type
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Examination Information
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'Examination Number IDate ITime --rxam !b)(6l-4 2004/07/12 12:30:27 ~_~-TOB__ Diagnosis ~ _ Please see attached page _____ 1 _ Please Disposition Type Disposition Date 2004/07/13
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_________________ ___________________________________________i;}Y:;~________________ -Tlnternment-serial::i~um-:--~.!-q-L-· () '~-:--r:..!J~~~~-----------l
L___ Diagnosis (F~om Page 1) ______--c-l~=b=)(~6)~-2==~:::;:===~---
S: dizziness when standing-pt on PenVK; Phenergan, Atenolol
0: 142/82, p-100, r-16, Sa02 96%
A: Postural Hypoton~ion
P: 2000 cc NS in R AC 20gu.
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£;¥t ---~
Page 2
MEDCOM -942
DOD 004005
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B-ELEMENTARY SCHOOL 33-SUNNI-ISLt.M M-MARRIED
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Examination Information
Date Time Exam Category 2004/07/10 12:13:49.AM Al-TO BE DEFINED Diagnosis Comments
Please see attached page
Please see attached page
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DOD 004007
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Diagnosis (From Page 1) b)(6)-4
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-8; reeval ekg for heart pa~n
o ekg attached hp 154/79 P 75 A; Rheumatic heart·disease P; refill atenelol 50 mg 5 days pheogrin 2Smg once daily 5 days .
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MEDCOM -945
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Examination Information
Examination Number IDate Time Exam Category Type--of Case
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fb)(6)-412004/06/28 10:51:20 .AM Al-TO ~~ DEFINED SC-TO BE DEFINED
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Diagnosis Comments
Please see attached page Please see attached page
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Disposition Type DiSPOSition Date [Disposition Time
2004/06/29 112:00:00 AM
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Diagnosis (From Page 1) '---_---,-_____ S; Flu ONLY RHEUMATIC HEART ON PCN 500mg QD TENORMIN 50mg PO QD. NKDA. PAIN IN CHEST " Internment Serial Num. ~b)(6)-4 I I ._._______ RADIATING TO BACK. .
0: BP 142/80 T-98.9 SP02 97 % P 87
A: RHEUMATIC HEART
P: ALLEGRA 180mg QD x 140 ATENOLOL 50mg QD x 14D peN VK 500mg QD x 140 CELEBREX 100 mg BID x 14D Flu 14D
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Page 2 Fx:u /q MEDCOM -948
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Examination Information ~
Exam Category Type of CaseIExamination Number IDate
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b)(6)-4
Al-TQ BE DEFINED Be-TO BE DEFI~ Diagnosis
2004/06/17
Comments Please see attached page
Please see attached page I DispOSition Type lJiSpos1tion Disposition Time ~ 2004/06/17 12:00:00 AM I
Immunizations
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MEDCOM -950
DOD 004013
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Diagnosis (From Page 1) l~b)(6)-4 I ,·s"7Ii .... rt·P;;;blem, fix of Rheumati.c Fever, Soy" th.i~---en,;-.i:".;;;;;;;;;;;ti,;-~-.. t good for hi.m, wants to return to Abu Gharib
0: P-10B, R: 34, BP: 160/62, MS Mitral Valve, LSC
A: Mitral vavle Defect
P: Cont. peN VK SOOmg qd
Tenormin 50mg p.o. qd x7d
RTC 7D, count excusal
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I l._____._. comments (From Page 1) ___J~b)~6)-4 _____L___~~~_.______________________________.
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Page 3 MEDCOM -952 -------E;H ----_._.--_. /8
DOD 004015
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Examination Information Date Time i Exam Category .-, Type of Case 2004/05/31 17:29:17 PM IAl-~O BE DEFINED IBC-TO ~~_DEFlNED
Diagnosis Comments attached page Please sse attached page
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Disposition Date
Disposition Time ~ 2004/06/08 12:00:00 AM
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MEDCOM -953
DOD 004016
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Serial Num.
Diagnosis (From Page 1) Ji~b)(6)-4
S: heart valve problem, on long acting benzola, pcn, dizziness
0: lungs MAD, cor 2/6 sigs ao valve
A: rheumatic heart
P: Pen VK 250 mg bid, continuous
'0 .. ...
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MEDCOM -954
DOD 004017
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MEDCOM -955
DOD 004018