Clinical Document

Inland Psychiatric Medical Group

Phone:

9093353026

DRISKILL , JAMES

September 1, 1965

Born

Male

Sex

74455486755769533301390734623137025694

MRN

547453504

SSN

C2333746

MRN

3260 Grande Vista

San Bernardino, CA 924051939

Address

9098828759

Home Phone

5164064560

Mobile Phone

3077578786

Work Phone

Jmdriskill@gruwup.net

Home Email

Unknown

Race

instructions

No Information Available

medical devices

GMDN Name	UDI	Expiration Date	Status
No Information Available

procedures

Name	Related To	Date
No Information Available

encounters

Encounter	Performer	Date
Encounter Visit	Olivia Ellis	12/28/2021
Encounter Visit	Breanna Yang	12/23/2021
Encounter Visit	Breanna Yang	12/23/2021
Encounter Visit	Estefania Landin	12/22/2021
Encounter Visit	MUBASHIR FAROOQI	01/06/2020
Encounter Visit	Breanna Yang	12/22/2021
Encounter Visit	CHINYERE OBAKHUME	01/04/2022
Encounter Visit	SUDHEER JALAGADUGULA	12/03/2021
Encounter Visit	VANAJAKSHI GOKAPAI	01/05/2022
Encounter Visit	PAVANI KOTHAPALLI	04/26/2021
Encounter Visit	Marie Garcia	04/20/2021
Encounter Visit	PRATHAP THATHAPUDI	12/02/2021
Encounter Visit	Valerie Perez	02/28/2020

problems

Problem	Effective Dates	Problem Status
Severe mood disorder with psychotic features (disorder), [26516009]	20200106	ACTIVE
Schizoaffective disorder, bipolar type (disorder), [38368003]	20200106	ACTIVE

Treatment Plans

Problem	Care Plan

Immunizations

Vaccine Name	Date	Status
No Information Available

health concerns

Health Concerns
No Information Available

goals

Goals
No Information Available

mental/functional status

Mental/Functional Findings
No Information Available

chief complaint

Reason for Visit/Chief Complaint
No Information Available

assessments

ASSESSMENTS
Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020 Schizoaffective disorder, bipolar type (disorder) (F25.0/295.70) Schizoaffective disorder, bipolar type modified 6 Jan, 2020
Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020

reason for referral

Reason For Referral
No Information Available

social history

Social History Element	Description	Effective Dates
Birth Gender	Male	01/04/2022
Smoking Status	Never smoker, [SNOMED-CT:266919005], null	2022

medications

Medication	Start Date	Instructions	Status
lamoTRIgine 200 mg tablet, [RxNorm: 198429]	01/04/2022	1 tab(s) orally 2 times a day	active
cariprazine 6 mg capsule, [RxNorm: 1667678]	01/04/2022	1 cap(s) orally at every bedtime	active

vital signs

Date / Time:	01/04/2022
Height	172.72 cm
Weight	83.56 kg
BMI	28.01 kg/m2
Blood Pressure	mm[Hg]
Heart Rate	/min
O2 Percentage BldC Oximetry	%
Inhaled Oxygen Concentration	%
Body Temperature	Cel
Respiratory Rate	/min
Head circumference	0 percentile
Weight-for-length	0 percentile

family history

FAMILY HISTORY	Family member	Diagnosis

results

Name	Actual Result	Date	Laboratory
No Information Available

Allergies

Type	Substance	Reaction	Severity	Status
No Information Available

clinical notes

CLINICAL NOTES
Medications: Vraylar, 1 cap(s) orally at every bedtime (Edited by MUBASHIR FAROOQI on Jan 6, 2020) lamoTRIgine, 1 tab(s) orally 2 times a day (Edited by MUBASHIR FAROOQI on Jan 6, 2020) Assessment: Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020
Soc Hx: Tobacco: Never smoker - Alcohol: Do not drink - Drug Abuse: Illicit drug use - Cardiovascular: Eat healthy meals - Safety: Household Smoke detector - Sexual Activity: Homosexual encounters - per patient "I am gay" Birth Gender: Male - Custom Items: Cannabis - PMHx: Hyperlipidemia Type II DM HIV POSITIVE PSHx: denies past surgical history Medications: cariprazine, 1 cap(s) orally at every bedtime (Edited by CHINYERE OBAKHUME on Jan 4, 2022) lamotrigine, 1 tab(s) orally 2 times a day (Edited by CHINYERE OBAKHUME on Jan 4, 2022) Allergies: No allergy history has been documented for this patient. No known medication allergies Assessment: Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020 Schizoaffective disorder, bipolar type (disorder) (F25.0/295.70) Schizoaffective disorder, bipolar type modified 6 Jan, 2020

CLINICAL NOTES

Medications:

Vraylar, 1 cap(s) orally at every bedtime (Edited by MUBASHIR FAROOQI on Jan 6, 2020) lamoTRIgine, 1 tab(s) orally 2 times a day (Edited by MUBASHIR FAROOQI on Jan 6, 2020)

Assessment:

Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020

Soc Hx:

Tobacco: Never smoker - Alcohol: Do not drink - Drug Abuse: Illicit drug use - Cardiovascular: Eat healthy meals - Safety: Household Smoke detector - Sexual Activity: Homosexual encounters - per patient "I am gay" Birth Gender: Male - Custom Items: Cannabis -

PMHx:

Hyperlipidemia Type II DM HIV POSITIVE

PSHx:

denies past surgical history

Medications:

cariprazine, 1 cap(s) orally at every bedtime (Edited by CHINYERE OBAKHUME on Jan 4, 2022) lamotrigine, 1 tab(s) orally 2 times a day (Edited by CHINYERE OBAKHUME on Jan 4, 2022)

Allergies:

No allergy history has been documented for this patient. No known medication allergies

Assessment:

Severe mood disorder with psychotic features (disorder) (F31.64/296.64) Bipolar disorder, current episode mixed, severe, with psychotic features modified 6 Jan, 2020 Schizoaffective disorder, bipolar type (disorder) (F25.0/295.70) Schizoaffective disorder, bipolar type modified 6 Jan, 2020

Health Care Providers
NI
VANAJAKSHI GOKAPAI	1809 W Redlands Blvd Redlands, CA 923738054 Address	9093353026 Work Phone

Document Details

Inland Psychiatric Medical Group

1809 W Redlands Blvd

Redlands, CA 923738054

Address

9093353026

Work Phone

January 7, 2022 : -

VANAJAKSHI GOKAPAI

Published

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