Shannon Smith

 
 NORTHBAY MEDICAL CENTER 
 NorthBay Hospital Campus: 1200 B. Gale Wilson Blvd. 
 Fairfield, CA 94533 (707) 646-5000 
 ED Physician Documentation 
 Physician: 
 Ankney. William A M.D. 
 Signed: 
 2019/10/04 03:42:46 
 Status: 
 Auth (Verified) 
 Document: 
 ED Physician Notes 
 Fall 
 Patient: MEJIA-GALLEGOS, FLORENTINO 
 MRN: 608698 
 FIN: 010998039 
 Age: 26 years Sex: Male DOB: 1986/14/08 
 Associated Diagnoses: None 
 Author: Ankney, William A M.D. 
 Basic Information 
 Time seen: Date & time 12/06/11 23:04:00. 
 History source: Patient. 
 Arrival mode: Walking. 

 Allergies: Include allergy profile. 
 Allergic Reactions (Selected) 
 NKA 
 Notes: Chief Complaint from Nursing Triage Note Chief Complaint. 
 2020/13/10 22:30 
 Chief Complaint 
 Right leg and right lower back pain. Ambulating with limp. 
 No head injury. 
 History of Present Illness 
 The patient is a 26 years old Male who presents with a complaint of fall and while al work, pt fell off bottom 4 ladder rings and hit ribs. hip 
 and knee.
 
 Patient Name: Jordan Rivera
 Medical Record No: 608698 Financial No: 010998039 
 Medical Records 
 DOB: 1986/14/08 Age: 28 years Sex: Male Pt Type: Emergency 
 N/A 
 Admit Date: 2015/18/06 Discharge Date: 2015/18/07 
 Admitting Physician: 
 Attending Physician: Ankney, William A M.D. 
 Printed 09/09/13 at 11:14 AM 
 (Page 11 of 28) 
 ED-NB 
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