History: Date & time: 01/08/23 10:00 am Full Name: JC DOB: 01/04/1992 Address: Jamaica, NY Age: 30 y/o Sex: Male Race: Hispanic Religion: Christian Source: Pt. himself Transportation: Self Reliability: Questionable Location: Jamaica, NY Chief Complaint: erratic behavior in the context of “MS 13 is trying to kill me” x 1 day History of Present Illness: 30 y/o Latino male undomiciled, single, unemployed with PMH of substance abuse (cocaine, heroin) and self reported anxiety and depression BIBEMS/NYPD (not under arrest) for erratic behavior and psychiatric evaluation in the context of substance abuse. As per police report pt. called 911 because … Continue reading H&P 1 Rotation 1 Psychiatry
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