Free Response to Motion - District Court of Delaware - Delaware

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I cmu! Complaint: s. _=Lr ;, Q,}}5$jm {LQ. "éi.¥ZCs»¤i;,s’€f;”2.ss="*.£~._;f?..»€“`; lr ______“___
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Physical Examination: J; r - '{ _` ·
cssssssnl A as 0 s _; No sense distress é fi l£@l’\{{ gi { {·’?/M Q5
S P:sum·; 1 gvseaasss { {Ns Rashes{ {No Lesions ___ ` UQ { Y L·'Lf{ ] ;~;t,mL./C.-» _“___
H NT l J:1undi s Cleaptiaiares Potenlglktrsnrynx w/o lgrythema _________________________"___%_________________
Neck/Car ads { No assesr{_{}§{o Adenopathy _________£X’%____%________h______m_W___m%W______mW______M_______
Lungs .ar to Auscultatioo B,Q,L{~·{:1!r{o Wheezing_ / fj __
Heartl egular Rhytl1§No murmur or Gallup Q { JJ] W_______w. _____~
Abdomen { {Non—'l`ender {_ {No Masses { {No Organemegal [ {B S Norm jétive _ _______m_____ __“_
Extremities { {No Edema;__y__Q___A_m__;%____%________%___;%_____%__________~;_____
Neuro { {CN II-XII intact { {DTR’s Equal B/L [ {Galt Steady { {Muscle Strength 5/5 { {Negative Rhomberg _`____1____
Musculoskeletal { {No Joint Swelling; { {No Deformihies; { {No Spasms; { {No Tenderness ____ n _______”
Psychological { {N0 Anxiety or Depression _______M__;_______M_W_____m_____________M_?___“_An_________________H*__
GU/Rectal { { heme negative ____ _ _{____ / __“_ _
impression/Diagnosis: _____________m_ M __________?___________________________
Plan: y___________m_m___#____M_____mw_____* %nm____mm________________
Medic:ntion(s) Prescrébez lff ,
(A M2;} rt; D 1; ‘ { {av Os
Labsflblagnostic Tes1:(s) Requested; U __
Referral(s) Requested: ____¢_ _____m _______
Counseling: { {Diet { mokiug Cessation { {Exercise { {Safe Sex { {ETOH Cessation { {Substance Abuse { {Seat Belt { {Diabetic { ] Other __
Screeningflmmunim on: Wap Smear { {CoIo—Rectal { {Mammogram { {Cholesterol { {l’t·ostate { {'Tetanus { {Pneumococcal { { Otne:r_____
PatientEdnc:1ti0n: { edieation Admlnistranlon { {Medication Side Effects { {Medication E teraction { {Other
Return to Ofiice: Monday Tuesday { { Wednesday Thursday Friday
_Weeks V Moags ____ i___ PRN Other
Practinionefs $§gnatus·e__ k5____~_{____*_W___“A
I me MEDICAL mans e¤e.s;w.sees FORM; venom

Case 1:04-cv—00970—JJF Document 97-3 Filed 12/13/2006 Page 2 of 2
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