PHYSICAL EXAMINATION FORM
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Part One: TO BE COMPLETED PRIOR TO MEDICAL APPOINTMENT
Name: Unknown Nightshade
Address: Unknown
Date of Exam: 90 of Summer’s Rain, 1082
SSN: N/A
Date of Birth: Unknown
Name of Accompanying Pony: N/A
Sex: Female
Tribe: Changeling (Praetorian)
DIAGNOSES/SIGNIFICANT HEALTH CONDITIONS:
CURRENT MEDICATIONS:
Medication name: Codeine
Dose: 56mg
Frequency: Every 4 hours
Diagnosis: Moderate pain due to missing forehoof and damage to the right side of the face.
Date Medication Prescribed: 90/4/82
Does the pony take medications independently?: Yes
Allergies/Sensitivities: No
IMMUNIZATIONS:
N/A
OTHER MEDICAL/LAB/DIAGNOSTIC TESTS
GYN exam w/PAP: Date: 90/4/82 Results: Negative
Mammogram: Date: 94/4/82 Results: Changeling doesn’t have teats like a pony
Hemoccult: Date: 95/4/82 Results: Negative
Urinalysis: Date: 97/4/82 Results: Negative
CBC/Differential: Date: 2/5/82 Results: See Below (1)
Other (specify): Date: Results:
PART TWO: GENERAL PHYSICAL EXAMINATION:
Blood Pressure: 120/60 Pulse: 120 BPM Respirations: 14 RPM Temp: 100℉
Height: 4’3” Weight: 180lbs Wing Size: 1’2”
EVALUATION OF SYSTEMS
Eyes - Left eye worked as normal, right (injured) one failed to complete the test due to being largely blind in that eye due to injuries.
Ears - Normal results
Nose - Normal results
Mouth/Throat - Normal results
Head/Face/Neck - Scarring on the right side of patient’s face due to injury taken during assault.
Teats - N/A
Lungs - Normal results
Cardiovascular - The patient appears to be normal, bar abnormal readings in their blood (1)
Abdomen - Normal results
Gastrointestinal - Normal results, scans show an omnivorous digestive system
Musculoskeletal - Despite having external chitin, the patient also has some internal skeletal system. Muscles appear to give her a strength comparable to an Earth pony, along with signs of wing training similar to a pegasus athlete
Integumentary - Patient has chitin, not skin or fur
Renal/Urinary - Normal Results
Reproductive - Normal results, shows sign of having given birth
Lymphatic - Normal results
Endocrine - Normal results
Nervous System - Normal results
Thaumatic System - Overactive, allowing the absorption of foreign magic far easier than ponies. Allows magic to affect them stronger than normal, possibly related to changelings’ feeding on emotions. Build up of magic around hooves and wings and atrophy around horn suggests primary magic use more similar to pegasus than a unicorn.
Name of Physician: Dr. Whole Body, MD.
Date: 3/5/82
Additional Comments:
PATIENT TIMELINE:
90/4/82 - The patient is brought in under lock and key by the Day Guard and Starlight Glimmer after having lost her right foreleg and damaged her eye shortly before being arrested. The patient struggled to free herself soon after awakening, requiring heavy sedation to put her down. The damaged foreleg was treated as best as it could be by Nurse Redheart and the wound was cauterized.
91/4/82 - On awakening the patient struggled against her bonds, screaming that she had to ‘return home before he gets to them’. When asked to elaborate, the patient instead seemed to spiral into a panic attack, requiring sedation before she hurt herself.
97/4/82 - Guards are alerted by the patient screaming in her sleep. Mostly gibberish, but according to the guards’ report she kept apologizing for cheating, as ‘she was forced to’.
1/5/82 - Princess Luna was able to interrogate the patient successfully, shedding some light on the abnormalities. Such as the fact that she was a ‘praetorian’ instead of a regular changeling.
4/5/82 - The blood work finally finished processing, as the strange nature of the patient’s DNA made it hard to fully draw anything conclusive without a lot of work. The DNA had a close connection to a pegasus colt by the name of North Star and his mother, a pegasus mare by the name of Midnight Strike. The mare is believed to have been the patient’s false identity for years due to the simple fact that North Star’s birth in the hospital is too well documented to be fabricated. However, the colt’s blood work from samples taken on his last medical visit due to his own health issues revealed that while his mother is confirmed to be Midnight Strike, his father has a closer match to [REDACTED ON ORDER OF DIARCH PRINCESS CELESTIA] instead of her husband Sky Stinger.