Case Notes 3- SAK
.docx
keyboard_arrow_up
School
Pennsylvania State University *
*We aren’t endorsed by this school
Course
2023
Subject
Biology
Date
Dec 6, 2023
Type
docx
Pages
2
Uploaded by DeaconRiverLark31
P
ENN
S
TATE
U
NIVERSITY
C
RIME
L
AB
1313 Shaler Way
University Park, PA 16802
Case Number:
PSUCL-01
Criminalist:
Joseph Bianchini
Date:
12-SEP-2023
Sexual Assault Kit Examinations
On
12-SEP-2023
at
1532hrs
, I received evidence items 1 – Lisa W. Sexual Assault Kit and 42 – Ralph P.
Suspect Sexual Assault Kit for examination.
Lisa W. claims assault occurred approx.
1800hrs
. Samples collected approx.
2030hrs.
Last consensual
intercourse was approx.
2
days prior. Victim reports no douching, bathing, or showering was done
between time of assault and sample collection. No vaginal trauma indicated by nurse examiner.
Ralph P. kit was collected the morning after the incident by jail personnel. It is unknown whether he
changed clothes, bathed, or showered between the alleged time of the assault and the collection
samples from his person. Ralph P. has informed detectives he has had no prior contact with either victim.
The items in the kits were sub-itemized as follows:
1
Lisa W. Sexual Assault Kit containing:
1(a)
Lisa W. Sexual Assault Kit – test-tube of blood
1(b)
Lisa W. Sexual Assault Kit – toxicology blood sample
1(c)
Lisa W. Sexual Assault Kit – vaginal swab
1(d)
Lisa W. Sexual Assault Kit – cervical swab
1(e)
Lisa W. Sexual Assault Kit – vaginal wash
1(f)
Lisa W. Sexual Assault Kit – rectal swab
1(g)
Lisa W. Sexual Assault Kit – fingernail scrapings
1(h)
Lisa W. Sexual Assault Kit – pubic combing
1(i)
Lisa W. Sexual Assault Kit – urine sample
42
Ralph P. Suspect Sexual Assault Kit containing:
42(a)
Ralph P. Suspect Sexual Assault Kit – blood samples
42(b)
Ralph P. Suspect Sexual Assault Kit – hair samples: head, body, pubic
42(c)
Ralph P. Suspect Sexual Assault Kit – pubic combing
42(d)
Ralph P. Suspect Sexual Assault Kit – fingernail scraping
42(e)
Ralph P. Suspect Sexual Assault Kit – penis swab
Initials:
JB
Date:
12-SEP-2023
Page
1
of 2
FRNSC 100 – F23
P
ENN
S
TATE
U
NIVERSITY
C
RIME
L
AB
1313 Shaler Way
University Park, PA 16802
Item 1(c) – vaginal swab
Testing For
Item tested
Reagent/Test used
Results
Presence of semen
Vaginal swab cutting
extract
Acid Phosphotase
(AP) test
Color change to
blue
after
55
seconds. This
is considered a
weak
positive
Presence of spermatozoa
Vaginal swab cutting
extract smear – on
slide for microscopy
Christmas Tree Stain
- KPIC
Red & green
spermatozoa heads visualized
Ratio of vaginal epithelial
cells to non-nucleated
cells
Vaginal swab cutting
extract smear – on
slide for microscopy
Christmas Tree
Strain
Chocolate-brown
vaginal epithelial cells
visualized.
73 positive
vaginal epithelial
cells per 100 nucleated cells
Item 42(e) – penis swab
Testing For
Item tested
Reagent used
Results
Presence of vaginal
epithelial cells
Penis swab extract
Christmas Tree Stain
- KPIC
No nucleated cells visualized; therefore
zero
vaginal epithelial cells are detected.
Remaining portion of Item 1(c) – vaginal swab sent to DNA. All other items were placed in secure
refrigerated storage indefinitely until authorized removal.
Initials:
JB
Date:
12-SEP-2023
Page
2
of 2
FRNSC 100 – F23
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
Related Questions
https://mylearning.suny.edu/d21/le/content/1496105/viewConten
Ch 9 Medical Record Activity
Page 1:
What is Cindy's chief complaint or reason for visit?
1
Page 2:
21
Page 3:
3>
Page 4:
41
Page 5:
5
Page 6:
Cindy is a 17-year-old high school student. She leads an active social life, gets good
grades, and is a member of the track team. About two weeks ago she became ill with
what she thought was the flu.
Her signs and symptoms included sore throat, enlarged and tender lymph nodes in
her neck, inflamed tonsils, headache, fever, muscle aches and fatigue and loss of
appetite. She expected to feel better by now, but she still has many of the
symptoms. Her mother took Cindy to their family physician for evaluation.
Upon examination the physician notes that Cindy has swollen lymph nodes in her
neck and armpits, her spleen is enlarged. Based on her symptoms and examination
the physician diagnosed Cindy with the Epstein-Barr virus. He explained that there
is no specific cure, but that treatment…
arrow_forward
Please watch the TSH video
https://youtu.be/GaO-Fq6II8w?si=hM-Kj3_DRiei4cpI
answer the questions in detail
Watch https://m.youtube.com/watch?v=GaO-Fq6II8w
List the symptoms pertinent to the case.
Identify appropriate history questions for your patient to discriminate critical characteristics or attributes about the above presenting complaint. Incorporate OLD CARTS (Onset Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity).
Delineate 4 differential diagnoses that could support the above symptoms in relation to pertinent answers given the history. Include the name of the disease and the appropriate ICD 10 code and provide a rationale for each choice based on the presenting case.
What is the physiology, pathophysiology, and/or etiology associated with each differential?
What diagnostic tests would you obtain to rule out medical issues that mimic each differential diagnosis?
What does the USPSTF App (Preventive Studies)/website say about the…
arrow_forward
Match the term with the best description
arrow_forward
Can you please help me with this question? :)
arrow_forward
ast-1-prod-fleet02-xyt X
Content
https://bblearn.atu.edu/ultra/courses/_31340_1/cl/outline
Multiple Attempts This test allows 2 attempts. This is attempt number 1.
Force Completion Once started, this test must be completed in one sitting. D
cration Help
Your answers are saved automatically.
ts
Remaining Time: 1 hour, 18 minutes, 40 seconds.
v Question Completion Status:
arn Help for
QUESTION 1
Which population is more likely to be affected by genetic drift?
a. 215 fleas on a dog
Ob.3000 zebra in a herd
c. 1350 mice in a house
d. 12 squirrels in a forest
e. 49 herons in a colony
QUESTION 2
isolation.
The process of speciation always includes
a. temporal
b. geographie
e to search
arrow_forward
x +
thepoint.lww.com/titles/9781975198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments
Location: Patient room on a locked mental health unit
Time: 1900
nts
cons
tab
lock
X x Sim Standalone
14
#
Report from day shift nurse:
Situation: David Carter, a 28-year-old male, was admitted 2 hours ago after he became violent with his mother and threw a table at her when she asked
him to take his medications. She then called the police, who brought him to the emergency room on an involuntary emergency detention
Q
A
Background: David Carter was diagnosed with schizophrenia 10 years ago, and he was stable on his medications until he recently stopped taking them.
He had a depressive episode 5 years ago that was successfully treated with venlafaxine. His mother reports that recently he has been talking about his food
being poisoned. His mother also reports that he has become more isolated, not going out and always sitting at his computer. She shares that he has been
posting some weird…
arrow_forward
https://drive.google.com/file/d/1r7dlImQLekI31VonoKr0bEEydUFY5vEa/view?usp=sharing
give me an research question and conclusion about the case study
arrow_forward
2:05 AM Sun Jan 21
5
ap-worksh...-hunt copy
Calibri
Home Insert
B
Draw Layout Review View Reference
I
aA✓ ✓ ✓ ||
33. The following picture shows an aneurysm (brain bleed). Looking at the picture and using your
terminology, how would you describe the location of the aneurysm?
VISIBLE BODY Ⓒ Argosy Publishing, Inc., 2007-2018. All Rights Reserved.
5
0 9
ili
=¶ \
35%
arrow_forward
hand written plzzz
arrow_forward
Identify the error on these prescriptions and determine the type of incorrect prescription.
arrow_forward
Why could this incident cause the hospital to be issued a Preliminary Denial of Accreditation?
arrow_forward
Identify the actions that Touchstone Medical Imaging took or did not take that caused HHS to award the penalty.
arrow_forward
How many grams of Amoxicillin will the patient receive each day?
How many days will the patient empty one bottle if she religiously follow the doctor’s order?
arrow_forward
Name: Joseph Carr MRN: 210735 Gender: Male D.O.B: 27 September 1992 Allergies: Penicillin Marital Status: Single Admitting Doctor: Lucas Smith Aboriginal and Torres Strait Islander: Yes SITUATION: Joseph, a 30-year-old man, was brought into the emergency department by police aEer displaying aggression in a local bar. He assaulted one of the bar patrons for “annoying him” and told the police he was friends with the chief of police and would get the officers fired. Joseph works as an accountant. He has a long history of success, including graduaNng from a presNgious university with disNncNon, making a large income, and having many friends and connecNons. He is gregarious and always seems to be the centre of aPenNon wherever he is. He recently joined as a senior accountant in one of the biggest accounNng firms and is anxious to make a strong impression on his boss. His new posiNon is more stressful than his previous job. He has been sleeping 2 to 3 hours a night…
arrow_forward
Name: Joseph Carr MRN: 210735 Gender: Male D.O.B: 27 September 1992 Allergies: Penicillin Marital Status: Single Admitting Doctor: Lucas Smith Aboriginal and Torres Strait Islander: Yes SITUATION: Joseph, a 30-year-old man, was brought into the emergency department by police aEer displaying aggression in a local bar. He assaulted one of the bar patrons for “annoying him” and told the police he was friends with the chief of police and would get the officers fired. Joseph works as an accountant. He has a long history of success, including graduaNng from a presNgious university with disNncNon, making a large income, and having many friends and connecNons. He is gregarious and always seems to be the centre of aPenNon wherever he is. He recently joined as a senior accountant in one of the biggest accounNng firms and is anxious to make a strong impression on his boss. His new posiNon is more stressful than his previous job. He has been sleeping 2 to 3 hours a night…
arrow_forward
Name: Joseph Carr MRN: 210735 Gender: Male D.O.B: 27 September 1992 Allergies: Penicillin Marital Status: Single Admitting Doctor: Lucas Smith Aboriginal and Torres Strait Islander: Yes SITUATION: Joseph, a 30-year-old man, was brought into the emergency department by police aEer displaying aggression in a local bar. He assaulted one of the bar patrons for “annoying him” and told the police he was friends with the chief of police and would get the officers fired. Joseph works as an accountant. He has a long history of success, including graduaNng from a presNgious university with disNncNon, making a large income, and having many friends and connecNons. He is gregarious and always seems to be the centre of aPenNon wherever he is. He recently joined as a senior accountant in one of the biggest accounNng firms and is anxious to make a strong impression on his boss. His new posiNon is more stressful than his previous job. He has been sleeping 2 to 3 hours a night…
arrow_forward
Name: Joseph Carr MRN: 210735 Gender: Male D.O.B: 27 September 1992 Allergies: Penicillin Marital Status: Single Admitting Doctor: Lucas Smith Aboriginal and Torres Strait Islander: Yes SITUATION: Joseph, a 30-year-old man, was brought into the emergency department by police aEer displaying aggression in a local bar. He assaulted one of the bar patrons for “annoying him” and told the police he was friends with the chief of police and would get the officers fired. Joseph works as an accountant. He has a long history of success, including graduaNng from a presNgious university with disNncNon, making a large income, and having many friends and connecNons. He is gregarious and always seems to be the centre of aPenNon wherever he is. He recently joined as a senior accountant in one of the biggest accounNng firms and is anxious to make a strong impression on his boss. His new posiNon is more stressful than his previous job. He has been sleeping 2 to 3 hours a night…
arrow_forward
Identify the indicated structures
arrow_forward
tected View Saved V
View Help
need to edit, it's safer to stay in Protected View.
sabled.
Reactivate
Search
Enable Editing
Mental Health Case: George Palo
Documentation Assignments
1. Document your findings related the focused assessment regarding George Palo's possible cognitive decline and
depression. Include his responses to your assessment.
Q Search
2. Document your findings related to the assessment of George Palo associated with the Geriatric Depression Scale
screening tool. Include his responses to your assessment.
3. Referring to your feedback log, document all nursing care provided and George Palo's response to this care.
4. Document all patient teaching provided to George Palo regarding assessments and safety issues, and his response to
the teaching.
5. Document your handoff report in the SBAR format to communicate George Palo's future needs.
arrow_forward
3 Lagin
9 Schoolagy
O Eekubehoby ar eloni
Deshboerd|
hayscisd schoology com/common-assessment-delivery/start/5600312691?action%3Donresume&submissionid-
Lehman Eookmarks G Ima çie result for fan.
G Image result for fan.
O Aware
Q3: Internal Ballistics
What si the most important thing to remember when collecting a firearm as evidence?
B I
U
=而
Don't over think it!
https://hayscisd.schoology.com/common-assessment-delivery/start/5600312691?action-onresume&submissionld=747466782#
DELL
arrow_forward
I need the answer as soon as possible
arrow_forward
Clinical case: Mrs. P, patient with neurological signs suggesting meningitis
. Your 45 year old patient (who has recently moved from Great Britain where sey were born and
raised) presents with severe headaches, stiffness in the neck, confusion and drowsiness.
• You suspect meningitis, a life threatening infection of the tissue surrounding the brain and spinal
cord.
• You take a cerebrospinal fluid (CSF) sample from the patient and send it to the micro lab for
examination and culturing.
• Later that day the micro lab reports that no bacteria nor fungi were observed on a direct smear
of the CSF. In 3 days, the lab reports that no
The lab also ran PCR for the most common viruses causing meningitis and all were negative.
• ELISA's checking for helminth and protozoal infections were also negative.
• Blood work suggests there is no immune response to the pathogen causing the patients clinical
signs and symptoms.
nor fungi grew in cultures.
Based on these results, you believe the pathogen…
arrow_forward
NDC 10019-178-44
Morphine
C
Sulfate Injection, USP
10 mg/mL
Ronly
FOR SC, IM OR SLOW IV USE
NOT FOR EPIDURAL OR
INTRATHECAL USE
25 x 1 mL DOSETTE® Vials
Baxter
esiLEDERLE
Mtd. for an affiliate of Baxter Healthcare Corporation
Deerfield, IL 60015 USA
by: Elkins-Sinn, Cherry Hill, NJ 08003 400-830-01
Each ml contains morphine sul
fate 10 mg, monobasic sodium
phosphate, monohydrate 10 mg.
dibasic sodium phosphate, anhy-
drous 2.8 mg. sodium formal
sulfoxylate 3 mg and
mg in Water for
sulfuric acid
2.5 mg in
added, I needed for pH adjust-
ment. Sealed under nitrogen
Usual Dosage: See package insert.
PROTECT FROM LIGHT.
0 25 25-65:s
Store at 15-30°C (59-86°F).
Avoid freezing.
NOTE: Do not use if color is darker
than pale yellow, if it is discolored
in any other way or if it contains a
precipitate.
DOSETTE® is a registered trade-
mark of A.H. Robins Company.
10019 17844
ZM
Use the medication label to complete these calculations. The drug label will supply
the dosage strength and the unit.…
arrow_forward
Question..
arrow_forward
None
arrow_forward
Please provide sufficient information about anti epileptic drug name Ztalmy (ganaxolone)? Please answer at your own easy words.
arrow_forward
2Approaching the scene, there is a green two-door GEO Storm in the parking space marked 3C.The vehicle is locked and does not appear to have been tampered with. There are no othernonemergency vehicles in the parking lot. (You are told that the reporting officers had the othervehicles removed from the parking lot.)Walking toward the stairwell, there is a series of red stains in the shape of shoeimpressions on the sidewalk. These shoe impressions appear to contain class characteristics, andthey may be composed of possible blood. There are four shoe prints present, all seem to be fromthe right foot and appear to have been made from the same shoe. The impressions lead from theelevator entry and disappear in to the grass. In the bushes just to the right of the sidewalk nearthe base of the exterior wall of the apartment complex is a large knife.Climbing the stairwell to the third floor, do not notice any further impressions. Uponarrival on the third-floor landing, there are two shoeprint…
arrow_forward
Please answer ASAP
arrow_forward
NEUROLOGIC ASSESSMENT (CRANIAL NERVES ASSESSMENT)
Descriptions
Assessment
Procedure
Rationale
arrow_forward
SEE MORE QUESTIONS
Recommended textbooks for you
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Related Questions
- https://mylearning.suny.edu/d21/le/content/1496105/viewConten Ch 9 Medical Record Activity Page 1: What is Cindy's chief complaint or reason for visit? 1 Page 2: 21 Page 3: 3> Page 4: 41 Page 5: 5 Page 6: Cindy is a 17-year-old high school student. She leads an active social life, gets good grades, and is a member of the track team. About two weeks ago she became ill with what she thought was the flu. Her signs and symptoms included sore throat, enlarged and tender lymph nodes in her neck, inflamed tonsils, headache, fever, muscle aches and fatigue and loss of appetite. She expected to feel better by now, but she still has many of the symptoms. Her mother took Cindy to their family physician for evaluation. Upon examination the physician notes that Cindy has swollen lymph nodes in her neck and armpits, her spleen is enlarged. Based on her symptoms and examination the physician diagnosed Cindy with the Epstein-Barr virus. He explained that there is no specific cure, but that treatment…arrow_forwardPlease watch the TSH video https://youtu.be/GaO-Fq6II8w?si=hM-Kj3_DRiei4cpI answer the questions in detail Watch https://m.youtube.com/watch?v=GaO-Fq6II8w List the symptoms pertinent to the case. Identify appropriate history questions for your patient to discriminate critical characteristics or attributes about the above presenting complaint. Incorporate OLD CARTS (Onset Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity). Delineate 4 differential diagnoses that could support the above symptoms in relation to pertinent answers given the history. Include the name of the disease and the appropriate ICD 10 code and provide a rationale for each choice based on the presenting case. What is the physiology, pathophysiology, and/or etiology associated with each differential? What diagnostic tests would you obtain to rule out medical issues that mimic each differential diagnosis? What does the USPSTF App (Preventive Studies)/website say about the…arrow_forwardMatch the term with the best descriptionarrow_forward
- Can you please help me with this question? :)arrow_forwardast-1-prod-fleet02-xyt X Content https://bblearn.atu.edu/ultra/courses/_31340_1/cl/outline Multiple Attempts This test allows 2 attempts. This is attempt number 1. Force Completion Once started, this test must be completed in one sitting. D cration Help Your answers are saved automatically. ts Remaining Time: 1 hour, 18 minutes, 40 seconds. v Question Completion Status: arn Help for QUESTION 1 Which population is more likely to be affected by genetic drift? a. 215 fleas on a dog Ob.3000 zebra in a herd c. 1350 mice in a house d. 12 squirrels in a forest e. 49 herons in a colony QUESTION 2 isolation. The process of speciation always includes a. temporal b. geographie e to searcharrow_forwardx + thepoint.lww.com/titles/9781975198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments Location: Patient room on a locked mental health unit Time: 1900 nts cons tab lock X x Sim Standalone 14 # Report from day shift nurse: Situation: David Carter, a 28-year-old male, was admitted 2 hours ago after he became violent with his mother and threw a table at her when she asked him to take his medications. She then called the police, who brought him to the emergency room on an involuntary emergency detention Q A Background: David Carter was diagnosed with schizophrenia 10 years ago, and he was stable on his medications until he recently stopped taking them. He had a depressive episode 5 years ago that was successfully treated with venlafaxine. His mother reports that recently he has been talking about his food being poisoned. His mother also reports that he has become more isolated, not going out and always sitting at his computer. She shares that he has been posting some weird…arrow_forward
- https://drive.google.com/file/d/1r7dlImQLekI31VonoKr0bEEydUFY5vEa/view?usp=sharing give me an research question and conclusion about the case studyarrow_forward2:05 AM Sun Jan 21 5 ap-worksh...-hunt copy Calibri Home Insert B Draw Layout Review View Reference I aA✓ ✓ ✓ || 33. The following picture shows an aneurysm (brain bleed). Looking at the picture and using your terminology, how would you describe the location of the aneurysm? VISIBLE BODY Ⓒ Argosy Publishing, Inc., 2007-2018. All Rights Reserved. 5 0 9 ili =¶ \ 35%arrow_forwardhand written plzzzarrow_forward
- Identify the error on these prescriptions and determine the type of incorrect prescription.arrow_forwardWhy could this incident cause the hospital to be issued a Preliminary Denial of Accreditation?arrow_forwardIdentify the actions that Touchstone Medical Imaging took or did not take that caused HHS to award the penalty.arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning