Entry tags:
[OOC/IC] -- Patient History Form.
| PATIENT MEDICAL HISTORY | ||||
| Name: Hikari Hoshi. | Age: 16 years | Sex: Female. | Height: 170 cm (5'7'') | Weight: 75 kg (165 pounds) |
| [X] |
[ ] Can't have magic used on. | [ ] Contagious (see notes). | ||
| HUMAN | ||||
| Average Lifespan: ~80-85 years | Rate of Maturity: Mentally around 23/24. Physically sixteen. | Average age of Puberty: 11. | ||
Normal Diet: Standard human dietary needs. See full documentation [here]. Has a faster than normal metabolism and will need to consume more food to keep metabolic rate up. Common Ailments: Colds, fevers, see file on [Common Human Illnesses] Specific Notes: Patient has titanium plates, rods, and screws in right arm. Must be in warm environment to keep the limb from irritation. Currently has ~70% of original range of motion. Pain tolerance is very high. Patient is also a Kamen Rider and claims that her powers grant her increased strength and acceleration. |
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| GENERAL HEALTH | ||||
| All of the following sense-related questions are to be answered in comparison to an average Homo sapiens. Ask your medical provider for assistance in answering this section. |
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| Blood Pressure: [X] Average | [ ] Low | [ ] High | ||||
| Vision: [X] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced | ||||
| If Enhanced, further explain: N/A. |
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| Hearing: [ ] Deaf | [ ] Low | [X] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive | ||||
| If necessary, further explain: N/A. |
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| Smell: [ ] Cannot Smell | [ ] Low | [X] Average | [ ] High | [ ] Extremely Sensitive | ||||
| If Extremely Sensitive, further explain: N/A. |
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| Known Allergies: No known allergies to medication, food, or fauna at this time. Are there any potential complications with healing processes we should be aware of when treating you?: Rider powers may interfere only when patient strains self while using them. See patient supplied Rider powers [here]. Do you have a healing factor different from the average for your species? If so, explain how here: Not necessarily, Rider suit allows for extra durability. Have you recently been screened for species, sex, and age specific cancer risks?: No. Special notes on care: Needs to keep arm mobile and active, as well as be kept in a room temperature or higher environment to be able to fully use right arm. Record of Past Injuries: Major fracture to arm, has sought out reconstructive surgery to repair the fracture. Severe scarring remains. All other scars have been acquired from earlier on in life. Ship Health Records: Fractured wrist, mild burns and exhaustion. |
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| SEXUAL HEALTH | ||||
| Have you ever been sexually active?: No. Are you currently Sexually Active: No. Have you recently been screened for STIs?: No. Species specific sexually related health notes and/or issues: Follows human sexual health standards. No known issues at present. |
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| Reproductive Health (skip if N/A) | ||||
| Date of Last Menses/Estrus/Equiv (skip if n/a): On ship. Number of pregnancies: 0. Number of pregnancies carried to term: 0. Age of first birth/hatching/etc. (if applicable): N/A. Total number of births/hatching/etc.: 0. |
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| DRUGS AND MEDICATION | ||||
| Are you or should you be on any prescribed medication? If so, list below: Yes -- 400 mg of NSAIDs three times a day. Have you taken any recreational or non-prescribed drugs or substances in the past? Is so, please list them and their frequency of use below: N/A. Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: N/A. |
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