Medical Report: 37-Year-Old Iraqi Male, Detainee, Baghdad, Iraq re: Detainee Medical Screening Form: Traumatic Chest Pain

This medical screening form for a 37 year-old detainee complaints of chest pain when breathing for 2-3 weeks. Medical exam show contusions to left side of ribs. The medical records do not state how the detainee received his injuries and does not give any personal information on the detainee.

Doc_type: 
Medical
Doc_date: 
Monday, May 10, 2004
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

DETAINEE MEDICAL SCREENING FORM
DATE: 7#1"7
f
bX6)-4
NAME;!:::[============L-_AGf: S7 HEIGHT: ~¥' YJEIGHT: (\"O

MEDICATIONS:'7h-+ nav.~~ Jq"" .-w+~..., ~
MEOICAl. HISTORY: 0 ASTHMA, 0 DIABETES, 0 HEART DISEASE, 0 TUBERCULOSIS, 0 OTHER INFECTIOUS

SICK CAlL;

OISCHARGE NO~NOCHANGE IN HEAlTli STATUS DATE: IS 7?!-1'] of
r

MEDCOM -748
DOD 003811

CHRONOLOGICAL RECORD OF MEDICAL CARE STANDARD FORM 600 !REV. 5-8':
py""",,_ by GSA and ICMR ARMR 141 CfRl 201·45.505
FCAS V1.0
~; :.1". 2c~
MEDCOM -749
DOD 003812

_0

DriBade JlIrAeon
DETAINEE MEDICAL SCREENING FORM
DATE: r)1~11;z
b)(6)-4
L

NAME:'--________--..l AGE: S7 HEIGHT: ~V WEIGHi: (r:;-O AlJ.ERGIES: [J s... YES: ... ____""'(:4-"1~~....------------
NO ;;."'"'4-"V
MEOICATIONS:1J1,.....f rlrtl&~ ")1,,, .-I-~_ ~
MEDICAL HISTORY: o.ASTHMA, 0 OCABETES, 0 HEART DISEASE, 0 TUBERCUlOSIS. 0 OTHER INFECTIOUS

SICK CAll:
DATE 10MA.ru'I COMPlAINT / DXfTX
"??Jirlk) !.1ea brfJh /,..} V'Iy.e j fc416 (.'" :)/'1,oJ4

DISCHARGE NOTE: IJ NO CHANGE IN HEALTH STATUS DATE: ______
SIGNED: MEDICAL OFFICER: ___=-=......-::=:--_____ eClS, 91W) (Me. DC, MS)
o
0" 046
MEDCOM -751

Doc_nid: 
3351
Doc_type_num: 
72