PATIENT REPORT
Date: 06/20/99
Lead Physician: Dr. Jerica Publius
Patient: Katsuo Akiyama
Birthdate: 01/21/81
Head
- Primary brain injury, attributed to lightning strike event
- Secondary brain injury, deficits noted in temporal region / hippocampus
- Facial lacerations (generalized, superficial)
- Periorbital ecchymosis (unilateral, left)
- Instability, ecchymosis of right zygoma
Chest
- Myocardial contusion, attributed to lightning strike event
- First-degree burns to shoulders, pectorals, upper back
- Multiple comminuted fractures of the acromioclavicular and glenohumeral joints/associated bones
- Lichtenberg scarring (generalized)
- Superficial lacerations, ecchymosis (generalized)
Abdomen
- First degree burns to all quadrants
- Lichtenberg scarring (generalized)
- Superficial lacerations, ecchymosis (generalized)
Upper Extremities
- First degree burns (unilateral, right)
- Lichtenberg scarring (generalized)
- Superficial lacerations, ecchymosis (generalized)
Lower Extremities
- Laceration (6 inch x 1 inch, right calf), affecting gastrocnemius, plantaris tendon, soleus
- Pilon fracture (unilateral, right, comminuted)
- First degree burns (unilateral, left)
- Lichtenberg scarring
- Hematoma (1 inch diameter, unilateral, right coxa)
- Generalized ecchymosis