Medical Report: 33-Year-Old Iraqi Male, Iraq re: Complaints of Old Wounds (0191-04-CID259-80235)

Medical records of a 33-year-old detainee whose allegations of abuse were the subject of CID Report: 0191-04-CID259-80235;the detainee complains of an aggravation to an old injury. there are medical records of other detainees in this document (probability by accident) but the medical report clearly discusses the 33 year-old as the subject of the document' It is difficult to determine what other CID reports these medical records pertain to.

Doc_type: 
Medical
Doc_date: 
Monday, May 31, 2004
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

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",l ,,} Law Enforcement SensItlvt;,' 0079-04-CID789 AUTHORIZED fOR LOCAL Rii'ROOUCIO', ~EDlCAl REeO;D CHRONOLOGICAL RECORD OF MEElICAL CARE OATE SYMPTOMS, DIAGNOSIS, TREATMENT, TREATING ORGANIZATION (Sign each enl1y) C0~~~~-.--r!iJ-2-'+~ s(.l1~1 s L,,"~yP-G--s-Cw.'M_;c­ )/f.!?_/%-___~V\(.t : VPf p,cffiC0tkV'C-v1 S. ~Ji-v-j , nf't~t1cj, ;(), d O"~cZ ___ ,,_ --t_ '3i~:-1---_cizt C. £\ ~ (/(v'ClG-e;;' fil?) to Cdr) /7 /. (v '-V .~ Sr/-a w/--t'td L.v j,.'j~___________' (:___ 1~~D______5 '. ~~ )PI) I:. i t'.~ ,tetJ.v' OVId e f.:.Ja I l'll Ia,:fcvtx I ('f. _________h f\-----I.(;L-r)~ ,I /0,,1 $ 8,t1H.vw:U 1;~Jrll,je pile Sf IjO"t-if,:tLL___.. I _ \.J ~----:5J.r5 t...'_c.-,'ii /~c{;cd'k ),10 lIc-k./I"U./ i"~~U-------.-. --..----.. ---------..--P~t?!lIt.. ';)iztA.t!,; i...e, 1Aa.. ~ ,Ci tre'(9 Ie s OL__ ________.. Y) 0 . h __ __ -~.L~-G.~---(' (1 LAd I i1t·{i ,1'1 ~ !-ok j/,l ~, I ,-=-I~I l 'o·t it c\ .-S.____________ ..______ __ .. , ------J,.;);ZL"'I-..~.. ___ .-'tJ-i'-~'.::;..J:'--lAlL.il,d':.-'" L---:;~,,-I=.;,-:T=~.-_Kb)(6)-2 ___--/_t._-i b)(6)­ .... -..........---------........-, ..----..-.. ---1--· ­ ., I .. ----..--.--.... ---.------t--- C Of') {( f\ ( -. . b)(6)-2 r--­ ~ SP, P.A,.c .... _---.. _._.-1-----_.... ----.------------,------------,----.... -... --­ i I I -------------.-.-----­ --+-_....._-----_.--_... _.. _---_..... ------------­ -_.._... _. -.. ------_.-.----. __.._---_._-­ . ---_ ..--_... _--------'--- I I .......--...--_.... -.--.. -.. ---~,---... ------.----.------------_.---_.. ---.--------.. -.-----­ -----_..... _.. _----------.. _---------_....... _-...._. ISPIT" OR MEDICAi FAC!lITY STATUS OEPART.!SERVICE I RECORDS MAIN! AiM,,": I i ---'-" -----_... "---_.-... -------.----~.-------.-. ------------r-:--:----------------"-----. : ISSNIID NO IRElATIONSHIP TO SPONSOR :For II'ped ," ,,,illen en!lies, oi,.. Name, lasl. I1lsl. middle; 10 110.' SSII: Sore 0.1. 01 Birth: Ran~/Gtade! REGISiER NO'''' .. ,-., ---..---1 \~-A4C-\C '. CHRONOLOGICAL RECORD OF MEDICAL CARE Medical Record STANDARD FORM 600 ;HEI' 69; Preselibod bv GSA/leMA flRMR 141 CfRI10 I·g 20, I Fo,' Official lise Only Law Enforcement Sensitive "'1 i ; .. : MEDCOM -786 Blood Components Circulation tr.-N. L Other: I V·ItaIS·1l!:IlS Transfer Instructions: Prepared By: SPC b)(6)-2 9\W .__._------------------­ .--.----------­ ..._.____. ___ ___ ._.. _ i ____..__. . ..._____ ..J ___ . _ .••..____. __ . ___..... ___._._.._________...___----.J For Official Use Only Law Enforcement Sensitive MEDCOM -787 ~~ 1 ~".~ 10 _: .~--...-.. -----F-&r--Oilkial--Ustl--Oaly-1--' 0079-04-CID789 ____..____________ 1~)(6~2forcemen t Sensjt~~e"", I Primar Survey 1 .----=~----------'~---"---------------­\1 II \: q; ,\lr'_\J~' a cchani~lll:: mOllltJinl"d hy, , __ ,_, _____, _, _ ._____ , __,__,__ , I S!-t \:: 1ISf', ~-J.JiLi i14/',8I'eathini.! ponlaneous Assisted by________ ...._, ,,_,,_______ Ipcls: 3;""..4", P-f$.J !lllTulauon: '-1!i' . llergies: tL f't I Pulse. r Absent CPR '~ r ...... of. Color: om Abnormal I (ap reiill: onnal lelayed Secondary Survey ttial Vital Signs: bip i£~_' 115". pulse '1 g RespJ&.Pulse Ox..iL Temp~-] ~==---~----~---------------­ ..~.--. -, .:CK ~ I \' -I . I c j; -, ~ '.L,.:. 11-..1,/ I I \IS ,/ \ ~ " ' \ I c/ .... ," I lUI V" Revised Trauma Score 'h;C" " "--171--: 1~-15 L:-i , ' l;LASCOW CO;\I,\ I --r-i'; 11-'1 TOTAL , ! I ' I BEST )(,-8')I VERBAL II1I\1H~ HI::SPO"iSE ill_"' I mI1lH'~ , ~__. __ ------lo...____.:... _ I i 111-4') : t I ~----.---- I nlmHg , ,I \;,', f'llll .... \· ;I . Bf.ST ---1 1(1-2'),111111 ~ REPO"lSE I__ :. . __ ~-~~I~~ __ ! fl-'} I11IIl '.' For Official Use Only Law Enforcement Sensitive ..... .......... ,....... ..,.,." .... --" '~', For Official Use Onl~. ":;~) AUTH f , Law Enforcement Senslth C -'WnI Cf-if.-'Cl9189 MELJ!CAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE SYMPTOMS, DIAGNOSIS, TREATMENT, TREATING ORGANIZATION (S'9fl eadl fJ!'{IY _._..... _ REPORT OF DETAINEE MEDICAL SCREENING: 111\,pr QL-l HislOry of PUSl :Vledical Conditions: (circle) High 13lovd Pressure:. i)iahCles, Ik~ln f: ,ll i.,:" (c.~ , 1.1:£ ' ...,_., . --.-._--,,-.... -,. .-. -Kiali~)-Tiiilur~, Sc:izLlr.:s, SlrliJ..e. Bb:dil\_ ....._._.Jfk~r.h~J}IQI}l.~l::\~)\.... ~1 p.~{)bl~ms_...Lh: r,,;c i ; j . .... -., ,,_."-'-'-"--r('~i)~~;;'-"­ !'vkdicclliull Alkrgil;:s~:ES) Lisl ­ -_ ... _-----_._-._-----_._----_......'-­ l :lilil.:' [klgral 1and Space: Belo\\ to Indicate: E:\amination Findings, fT adi.filion-::ils-: act':l~q(lrtea:-tCjITtlnni:·;·on 'Fe kt.~e'--....... . / ..' . .. ~I:~'~--~~IN~~~-~~()r Contincment lQ~)es).LQ_()~;:;9l) 1~~.Quj.r.e..E urther EV[!L :\amt:/Rank! nit of Screener -r'-',"--Sp-,T-.A-L-O-R-M-EO-I-CA-L-FL...AC-I-:JTY---------~,-S-=TA-T:-U-:'S--------.-,-=OE::":P:-A-=R-=T-=,S-=E-=R'-'I"""CE:-'------RE-':-O-f-'.-D:o-'-,),,-','-'.-:;.-.;.---'-' -­ :.1.:.' ";" ~'I'S IDFNT!;'"!CATION (Fvr :ypea Of wr:irt:!I ~IWJt'S. give ;'viJlJlr::!' las!. ,;rs: mlddlt."· ID /1.:0 O( SSN Se:t Dat~ oi REGISTER Nf) I ...";"',,,, Detlilletfb)(6)-4 I'i, CliRONOLOGICAL RECORD OF MEDICAl:-::--':'~'­,'dIllL': "----:--------;-oc-------;.....,-,.-;-;--------'. lIiled,cal r~2c')":Last. First \\iddk STANDARD FORM 60QI~~, \ \)11\1',': '.;ulHber: .... "-.-1._.............--....), .C_,_c.",_)._.~_3 P'8scnU,,(J by GSAlICMI, ~ F!RMr~ (41 CFR, 20 I," 2;, l );llc'! illl;" lJj' DL'lentil)!\: .J..! ... J:\fJ.P Lt_.... For Official Use Only Law Enforcement Sensitive ...... v MEDCOM -789 '. ...: 0' J! •.; ,I ... ; ..........-.__._-----.--_._----------_.__._--_.-__... ..__. r P'r;;n. ;-'1 (;'u!."'1':"''\' ~ ,.. ' ,J .' ". ~; ~4 p j U' ~ \....o.l ~ , .:'~ __..:.._____ e:q H X: J -"in";!)': ;-'. _~anically maintained hy_____._________._____________._.______. ~~e~~: ~ Assiste~ by --------.--.--., -.---.--...--_.--.. f:·l·J~~(~J1~~:~~~::~n: pon~taneOlis.~ ___. j" It . tL . ,.,' Pulse: re· Absent CPR . ergles: ~~..t. Color: 0 bnormaJ Cap refill: 0 elayed Intial Vital Signs: hip I8q HEAD:(../ 'ECK: ./'" 'flFST 'EL VIS: -_XI. '-.1 ( I," /" _Secondary Survey i C2..S-pulse.iL RespAPulse Ox~iemp ?B."1 ~~--~~-----.----------~ '--"', , .. , , ' I 1 ~_. _~A I , '. ( , ) \ I; ro, I .. }~/ -i, " ,. t, I. , I! '.', i {' ',; -.-~--. ,. ~"" I~ ~ ,',.i • , I I ~ '\ '\ I I I i IRe\'ised Trauma Score I \--_______" _______ •. _. I. I GlASCOW i COMA Spontaneously ! EYES ToSpecch 3 To Pain I OPEN None I I Oriented (V! ! B~T i I 4 Confused VERBAL ! Imlppl'oprilite s,-'und, , ~RESPO"E Incomprchensible 2 sounds -----f-- None I Obeys Commands I(l; " iL.7 I BEST MOTOR Localizcs Pain 5 MEDCOM -790 .,,- DOD 003853 : !~r;r_ ...... ~--.----.;..... ..:alhing: \;.. L': i._. Circulation: t.-... 1\.1. L . Unit # c, Other: Blood Components V'ItaIS'Igns Transfer Instructions: Prepared By: SPC ~b)(6)-2 ----_._--­ ._-------_._­ ---_._---------_.__.. _--_._-­ -----------------=.:...-_. .:.::..-=-~===============-- MEDCOM -791 GCS I Time B/P Pulse Ox Resp Pulse T~ I i I 1 i i / I ! : i i ! I OAT[ I , -···_·--_·_·_-········-r· ..·..•· ~-."....... -i-" .. ..., j7 / j ,\' )(: t' lJ I t'\ l'~ :'~II'! ~;;"lJ"'-" _.-2}__2~S... _.-}LL..O. 1-, (P /J 1 ,( ~ , . ____ ·_•• ,_, __•___._, __ •••• _ •• W.."H·· ~ ;I-;.-.---~--.t-%f--__~l~iLL~-~B.u__ ,~~Bc~~..::~__-_1:'LL.. / ' e:!f't~tUI2; IC)'!!_,_ c.~0r.:4. J q73 f-( '.li 1 ,/?){ ,-' -, -} _f-rdt lA,' /',,:c (Cd. ll8J{aCLlaly /lv.:::&--:rSfa.;r,b(J .. L.tJ~~,5 -,.,---_.. _._-'-­_P I() 0 '1 ~I / t) 5ptJ c: ".~:"_.. Ov1(:.t _ ef i.lG. I kh (a.:t.t4a I IY ~ n. ...._.._--_.._--. .' ..) ,1 ....,') . ,.. LJ!.!L_"::___..._. _____ \10~;' 71-;-2"\ ""'(I~CIO;l/q Prima Air.\'3y: ~nicall: mainl:Jincrl hi'-_ I 4reathing pontaJJeOI.l -----.-I Assisled by___________ .. ---------.-.-~~=-~.-.. . C'iftlJlation: . ' P·''''Sbnosmal I' Color: CPR L ___C_.a_p_re_fi_II_I:_________ __________________________________~I· e_b_~ I . Secondary Survey Intial Vital Signs: blp ~I[l.) pulse '8 RespAPulse Ox.11.... temp '71-'1 r=~--~~----~--------~ ;[N. p;" fl(;AD:(../ 'lEeK:.".,,­ : 1':';(';~' -·1-If.ST: 'El VIS: -.X I. IRcvlsed Trallma Score 13-' S GLASCOW COMA I--__Q-,...:;12=----j.-~ TBTAL 1--~~~8~-j.-~ ISYSTOLIC BLOOD PRF.SSl'RE RESI'IRATORY RATE EriC/ f-( ./ ~6 ,-,' ",--,. ! ! I 1 .:athing: "-'N L Ii J Blood Components Circulation: ~M. L O[her: Vital SI2Ds Transfer Instructions: NOTES: Ed C.1l dc.,~ ~,,-\ t"'o Prepared By: spdb)(6)-2 ~ 91 W -------._---------­ --~.---.==---­ .. =--=---=-=======-=-=:::.-=-==-======:=::, E ncr '-( " MEDCOM -794 DOD 003857 For Official Use Only Law Enforcement Sensitiv'e--" -....J 0079-D4-CID789 AurllOlllED FeR 10C4tIIlMOOOC1100 MEDICAL RECO' iD . CHRONOLOGICAL RECORD OF MEBICAL CARE I]ATE '/ ~PR.. Otj ..../ ~~~~~~~~~~~~~~~~­ -:L 4 J' f./e [) __ .:r ~~~C--~--r~-C~~--~~~~~~~~__~~~~~~~~____________ Con ( A /;;v I/~' --------. --..----..--+-~c...::.:..:~~~~~~-!-----___fiill6):'~----~r__ STANDARD fORM 600 Prelclibed by GSAIICMR FIRMR 141 CFR}2Dl·9.2021 iRE, e97. oSA" .;" For Official Use Only L9W Enforcement Sensitive 1 '..... ... . ._ .L " , Breathing: '--' (\ L Blood Components Circulation: ~N. L- Other: V'lta1 S' 'Rns Transfer Instructions: Prepared By: SPC Kb)(6)-2 t,9\W ------_.. ,----_..._-_._----------­-------_._-----------------­ ---" ---.------.---.-... --_ .._--_._-------------_..-\ .. ____." .._."..__._.__.._."._...___.... __..___ ..._____.............J ., .... -------------_._--_._---_._-_._----' For Official Use Only Law Enforcement Sensi.tive , .--..-,...--~ 10::­ ---------feF Oftieial US. Oat" -'v"-------. -----.------. I pi: '-'........ LaK~)~)_! ::0"*S;en.ittv¥ 0079-OiC\D189 -------------_. ­ ~ealhms ponl.neoll Assisted by C\Tcuiation: ' -------.-~.. --_.-.­i PlllSC::~bsenl CPR , Color: bool1lUll ! Cap refill: 0 _ -elayed Secondary Survey Illial Vital Signs: bip ~Ia.s--pulse~RespAPulse Ox.lL Temp...11. '} ~~--~~~----~------------~ "'_.... r-". I , I " ,,,/""" " '-..{ ,,.­ ".. )0--;.. i LCK ,../' j I~''-r~~ .~ ~ \ I ,-_'K I y' • ... -1. \ , t \ ' I II I" I I '1 "r~:' / I.. ( I J -.. " L. I -~ , ,.1 -, '.J ~ I , , I:.L\·''-, / .\1 / I :' I I i I , ,,1·\1"'-- II RO V ----I- IRevIsed TraunlII Score I GlASCOW '----"-----...---._" --.-- I 1_\.15' _.. M---; I COMA Sponloneously '1·12 ~ GLASCo\\' CO~I" ! EYES TOTAL ToS~ ! OPEN Oritnled 1 PI! Bt:ST i , . SYSTOI.I(, Bl.OOO ConfwedVERBAl. \ PRESSl:RE RESPO"iSE In~pp"lipri'lIl: s"lnul:; I I ~. Obo:y~ Command~ · '''plll.:.\. . 11 . !CY BE.ST i i MOTOR LocOIlizcs Pain ! --\ Ilh_~~ ._'1110 _Pl RE?Oc-l~!, \ +-i · :1) 111f11 ' ; . I !I::SPIR.\TORY RATE t~J~1 ! . ~ ·"tI' . 1---,-,-,,--,-,­· 'i(')Ot. ,I f· ~-----.--~ .. -.-t'--····f(;·!·~··· t 1 _______ __ .. ____.._._ _ __l( &~ For Official Use Only Law EI"hfOJ'l:ement Sensitiv~ 1 "!i i • "•. 1",_ DOD 003861 ".. tw , ....... ",. .• For Official Use Only .~." Law J:ftmrament SEil8itiY~ y AUTIi~'Ar'G~OlJlI.U' MEU,CAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE SYMPTOMS, DIAGNOSIS, TREATMENT, TREATING ORGANIZATION ( . n each ant ) DATE REPORT OF DET~INEE MEDICAL SCREENING: e. _1 I.e:;::£... .~I~~~?~_oX ra~t.~ledical_~ondi.ti~-s~.. (~~c~:L~~_~~.~r~ssu~..:..L~~h~~es, I-.Ieurt ~~.ih:r,·. l' r..1un~)' ralllln:, SI!IZllrI!S, StrOke;:, Bl~t:d\n:.: .-.. '--. ---.... 'T'-Medi,,,;on A"';;;;;~ES)' L;,t :_.U)c."', Ch,oo;c Bo'«I. p,"bl,.m~.Ih",..,II" _______._~ -___ .____ __ • __~_•• ____,. ___•• __ "0 "_' _ __ _ _. ___ _ Current Medications: (Numt:lD~):;dFre4u~ncy/Las\ Takt:n) (NONE) ----.. ----~ ··--··D'·---'-~-~-'-·-"· --.-.. ... . --.--...-. ---. -Rt:~~urr~: --N()-'i'E'S) \ "~~rI?~~r-~nc.r:5C£lY'S --To GJ~wld:= ·_~'~~.f;~d;ng ,~~~~"ift!J~ti~':____Res~'\~r-:_~~::i0~ c{f~(;'::r ~~e f HOSPITAL OR MEDICAL FACILITY STATUS DEPART ISERVICE \ RECORDS IMIN1;",'~'- SSNIID NO --··------i-R---O-ELA-=-TIONS~IP TO SPONS~--·----·--" SPONSORS NAME For Official Use Only Law Enfof-cement Sensitive '[p-1: , . ., ~

Doc_nid: 
3355
Doc_type_num: 
72