DOJ-OGR-00026209.jpg
Extracted Text (OCR)
Page 2549
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054
Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM
Encounter Date: 07/28/2019 06:51 Provider: [2%6! @@e) Unit: HO1
Nursing - Triage Note encounter performed at Health Services.
SUBJECTIVE:
COMPLAINT 1 Provider:
Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies)
Subjective: "| woke up and | had no control over my Right arm for a few minutes it was just doing what it
wanted to do"
Pain: No
OBJECTIVE:
Pulse:
Date Time Rate Per Minute Location Rhythm Provider
07/28/2019 06:57 82 f
Respirations:
Date Time Rate Per Minute Provider
07/28/2019 06:57 NYM
Blood Pressure:
Date Time Value Location Position Cuff Size Provider
07/28/2019 06:57 NYM_ 138/80
SaO2:
Date Time Value(%) Air Provider
07/28/2019 06:57 NYM 98 pane ORT
Exam:
General
Affect
Yes: Cooperative
Appearance
Yes: Appears Well, Alert and Oriented x 3
Skin
General
Yes: Within Normal Limits, Dry, Skin Intact
Head
General
Yes: Symmetry of Motor Function, Atraumatic/Normocephalic
No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity
Eyes
General
Yes: PERRLA, Extraocular Movements Intact
Face
General
Yes: Symmetric
Generated 07/28/2019 07:22 byib"5) (bic) N Bureau of Prisons - NYM Page 1 of 3
DOJ-OGR-00026209
Extracted Information
Document Details
| Filename | DOJ-OGR-00026209.jpg |
| File Size | 477.7 KB |
| OCR Confidence | 90.2% |
| Has Readable Text | Yes |
| Text Length | 1,326 characters |
| Indexed | 2026-02-03 21:03:28.466027 |