{
  "document_metadata": {
    "page_number": "2550",
    "document_number": null,
    "date": "07/28/2019",
    "document_type": "Medical Examination Report",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 2550\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/28/2019 06:51\nSex: M  Race: WHITE\nReg #: 76318-054\nProvider: [redacted] RN\nFacility: NYM\nUnit: H01\nExam:\nNo: Ecchymosis, Numbness, Swelling, Periorbital Edema\nNeck\nGeneral\nYes: Abrasion(s)\nPulmonary\nObservation/Inspection\nYes: Within Normal Limits\nNo: Respiratory Distress, Tachypnea, Hyperventilation\nCardiovascular\nObservation\nYes: Normal Rate\nMusculoskeletal\nShoulder\nYes: Full Range of Motion R, Symmetric R\nNo: Swelling R, Inflammation R\nHumerus\nYes: Within Normal Limits R\nElbow\nYes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R\nRadius / Ulna\nYes: Normal Exam R, Full Range of Motion R\nWrist/Hand/Fingers\nYes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R\nNo: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R\nROS Comments\nReceived inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from \"sleeping on my side\" that has since subsided. inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist.\nASSESSMENT:\nAlteration in comfort\nPLAN:\nDisposition:\nFollow-up at Sick Call as Needed\nNotify Medical Duty Officer\nPatient Education Topics:\nDate Initiated Format Handout/Topic Provider Outcome\n07/28/2019 Counseling Plan of Care [redacted] Verbalizes Understanding\nGenerated 07/28/2019 07:22 by [redacted] RN Bureau of Prisons - NYM Page 2 of 3\nDOJ-OGR-00026210",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Page 2550\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/28/2019 06:51\nSex: M  Race: WHITE\nReg #: 76318-054\nProvider: [redacted] RN\nFacility: NYM\nUnit: H01",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Exam:\nNo: Ecchymosis, Numbness, Swelling, Periorbital Edema\nNeck\nGeneral\nYes: Abrasion(s)\nPulmonary\nObservation/Inspection\nYes: Within Normal Limits\nNo: Respiratory Distress, Tachypnea, Hyperventilation\nCardiovascular\nObservation\nYes: Normal Rate\nMusculoskeletal\nShoulder\nYes: Full Range of Motion R, Symmetric R\nNo: Swelling R, Inflammation R\nHumerus\nYes: Within Normal Limits R\nElbow\nYes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R\nRadius / Ulna\nYes: Normal Exam R, Full Range of Motion R\nWrist/Hand/Fingers\nYes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R\nNo: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ROS Comments\nReceived inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from \"sleeping on my side\" that has since subsided. inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ASSESSMENT:\nAlteration in comfort\nPLAN:\nDisposition:\nFollow-up at Sick Call as Needed\nNotify Medical Duty Officer",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Patient Education Topics:\nDate Initiated Format Handout/Topic Provider Outcome\n07/28/2019 Counseling Plan of Care [redacted] Verbalizes Understanding",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "Generated 07/28/2019 07:22 by [redacted] RN Bureau of Prisons - NYM Page 2 of 3\nDOJ-OGR-00026210",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/28/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00026210"
    ]
  },
  "additional_notes": "The document contains medical information about Jeffrey Epstein, an inmate. The provider's name is redacted. The document is a medical examination report generated by the Bureau of Prisons."
}