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DB © imma OURAN 4802 10 Avenue” Broce, NY” 11219 718.283.6000 Emercency Department Discuarce INstRUCTIONS anew Nave: ALINTOFF, RACHEL MR Nuuwoe 31516144 ‘Account Nuveen so143e449 ‘Arrenone Prvsicax: —Tahisha N. Tolbert, MD Dave oF Br: 4123/1976 Resipent PivecanPA: Dave/Tme oF Serves: 04/27/12 11:40 The exam and treatment you received in the Emergency Department were for an urgent problem and are Not intended as complete care. If your symptoms become worse, and you are unable to reach your usual healthcare provider, you should return to the Emergency Department immediately. There are times when some oF all ofthe radiology studies you might have had will be interpreted by a specialist affer the completion of your visit. Ifa change in your diagnosis or treatment is needed, we will contact you. Its critical that we have accurate contact information in your fle. Your Diacnoses ARE: Prony Discnosss: Contusion - arm, right ‘Seconorry Ducnosis: Domestic Violence - Adult physical abuse Ternary Ducnosis Fottow-up INFORMATION: Please contact your private physician as soon as possible for follow-up care including referral to a specialist physician if that is necessary for your continuing care. If you do not have a private physician, please call the appropriate clinic below to schedule a follow-up appointment. ‘Specs Instructions (i APPLICABLE): Fouow-Ur PHysician: Fowow-Ur Srecuusr: Primary Care Clinic 1250 57th St, Brooklyn, 11219. 718.283.5700 Fouow-Ur Twerrawe: without fail as needed Cumie : ‘Aout Peowrmc Prumasy Cane Cunic 718.283.5700 718.283.3640 Mepica. Speciatry Cun 718.283.7431 718.283.8260 Surcica/Oprmaunovocy Cue 718.283.7431 718.283.7431 ‘OrmHorepic Surcery 718.283.7956 718.283.7956 Ossreracs/Gynecovoey Cune 718.283.8930 718.283.8930 Neurotocy 718.283.7470 718.283.7470 Psvcuatiey (CMHC) Cute 718.283.8100 718.283.8100 Crisis InreRvention HOTUNE 800.LIFENET (800.543.3638) _800.LIFENET (800.543.3638) Dowesric VioueNce HoTune 800.621. HOPE (800.621.4613) _ 800.621. HOPE (800.621.4613) For assistance in obtaining a Maimonides physician for your continuing care, you may call the Mamowoes Meoica. Cevter Pusan Rerenna Senvce at 888.MMC.DOCS (888.662.3627), where an advisor will help you find the right physician for your needs and will even help schedule your first appointment, DarelTwe Panseor 27-Aen-20T2 12:52 Pastors ON I ov wi 4802 107 Avene ~ Brooxm, NY” 11219" 718.283.6000 Emercency DeparTMeNT DiscHarce InstRUCTIONS Parent Neve: ALINTOFF, RACHEL MAR Nuneex 31616146 Account Numer 501436449 Arresons Prvsican: — Tahisha N. Tolbert, MD Dare of Bn srasni976 Resenr Puvsicu PA: Date/Te of Service: 04/27/12 11:40 MEpicaTioN RECONCILIATION ‘The medication list below represents the information provided to the Emergency Department staff at arrival, as well as throughout your visit today. Any changes made to your current medications by your Emergency Department physician are listed below next to the specific medications that were modified. All newly prescribed medications are listed separately as well. With the exception of changes made to the medications below or new medications added, continue taking your medications as you were prior to your visit to the Emergency Department. You must bring this list to your primary physician or other healthcare providericiinic as soon as possible to ensure safe continuation of your medical care. It is also important to ‘speak to your pharmacist about any new medications prescribed and any other medications/supplements that you are currently taking, Current Mevicavions with CHances as Noteo BeLow Source of information: Patient Current meds: Patient is not currently taking any medicat Newcy Prescriseo Mepications Topay Ibuprophen 400 MG Tablet, Take 1 or 2 Tablets, by mouth, every 6 hours, as needed for pain. Take with food. Take no more than 8 Tablets in 24 hours. Disp: Twenty (20), -Refils: None Dase/Tase Praca: 27 Are2012 12.52 Paedors BD @ wt ATOR 4802 107 Avenue” Boooriyy, NY” 11219” 718.283.6000 Emercency DeparTMeNT DischarcE INsTRUCTIONS Paniet Nave: ALINTOFF, RACHEL, MR Nuveen’ 31616144 ‘Accounr Nuwaca: 501438449 ‘Arrenone Puvsicun: — Tahisha N. Tolbert, MD Dare oF Bren: 1231976 Resioenr PivsicwvPA: Dare/Twe oF Service: 04/27/12 11:40 You have been diagnosed with a contusion. A contusion is a bruise. A contusion occurs when a body partis struck forcefully causing injury and breaking of small capillaries, which are tiny blood vessels. When capillaries break, bleeding occurs into the area and can cause reddish, purple or even black-and-blue discoloration of the skin. The area may remain painful for the next few days while the healing process occurs. If you are using a blood thinner such as Coumadin (Warfarin), the bruising may be much worse. Treatment for this type of injury includes the application of ice to the injured area along with limiting any activity which might worsen the pain By applying ice to the affected area, swelling and pain can be reduced. Place some ice cubes in a resealable (Ziploc) bag and add some water. Put a thin washcloth between the bag and your skin. Apply the ice bag to the area for at least 20 minutes. Do this at least 4 times per day. More frequent use of the ice and longer application times are OK. NEVER APPLY ICE DIRECTLY TO THE SKIN. YOU SHOULD SEEK MEDICAL ATTENTION IMMEDIATELY, EITHER HERE OR AT THE NEAREST EMERGENCY DEPARTMENT, IF ANY OF THE FOLLOWING OCCURS: - You experience a severe increase in pain or swelling in the affected area. - You develop new numbness and tingling in or below the affected area. - You develop a cold, pale fooUhand that appears to have a problem with its blood supply. DaeTTiwe Praves —— 27- Ae 2012 12.53 Practort

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