DOJ-OGR-00026231.jpg
Extracted Text (OCR)
Page 2571
Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953 Sex: M Race: WHITE
Encounter Date: 07/12/2019 13:10 Provider: MD
Exam:
Eyes
General
Yes: PERRLA, Extraocular Movements Intact
Pulmonary
Auscultation
Yes: Clear to Auscultation
Cardiovascular
Auscultation
Yes: Regular Rat Rhythm (RRR), Normal Si and S2
No: M/R/G
Abdomen
Auscultation
Yes: Normo-Active s
Palpation
Yes: Within Normal Limits
Musculoskeletal
Tibia / Fibula
No: Edema
Back
Yes: Tenderness
Neurologic
Cranial Nerves (CN)
Yes: Within Normal Limits
Motor System-General
Yes: Normal Exam
ASSESSMENT:
Constipation, unspecified, K5900 - Current
Hyperlipidemia, unspecified, E785 - Current
Low back pain, M545 - Current
Neuralgia and neuritis, unspecified, M792 - Current
Sleep apnea, G4730 - Current
PLAN:
New Medication Orders:
Rx# Medication Order Date
Magnesium Hydroxide Susp 07/12/2019 13:10
Indication: Constipation, unspecified
MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10
Pack 21 tab)
Indication: Neuralgia and neuritis, unspecified
Disposition:
Generated 07/12/2019 14:20 byl iG: (bic) MD Bureau of Prisons - NYM
Reg #: 76318-054
Facility: NYM
Unit: Z05
Ly
Prescriber Order
30 CC Orally - Two Times a
Day PRN x 2 day(s)
AS DIRECTED Orally - daily x
6 day(s)
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DOJ-OGR- 00026231
Extracted Information
Document Details
| Filename | DOJ-OGR-00026231.jpg |
| File Size | 487.3 KB |
| OCR Confidence | 92.3% |
| Has Readable Text | Yes |
| Text Length | 1,301 characters |
| Indexed | 2026-02-03 21:03:40.378872 |