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Home My WebLink AboutClaimantDesertRegiMed.1-27Patient: MRN #; Account #: DOB/Age/Sex; MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 I 21 years Desert Regional Medical Center 1150 N, Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date; Discharge Date; / Female Lab Medical Director(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MO Emergency/Urgent Care Document Type; Document Subject: Document Date/Time: Document Status: Performed By; Authenticated By: ED Note-Physician ED Note 12/6/2025 20;36 PST Auth (Verified) LUKER DO,HOPE Q (12/6/2025 22:12 PST) [NELSON MD,GRANT; NELSON MD,GRANT (12/7/2025 15:10 PST)]; LUKER DO,HOPE Q (12/7/2025 11:04 PST): LUKER DO,HOPE Q (12/6/2025 23:51 PST); LUKER DO, HOPE Q (12/6/2025 23:11 PST); LUKER DO,HOPE Q (12/6/2025 23:09 PST) DATE/TIME NOTFCRFATFn. 12/06/2025 20:36:32 DATE/TIME PATIENT SFFN; Time seen: 12/06/2025 18:55:13 Last Charted: CHIEF COMPLAINT: MVA HISTORY OF PRESENT ILLNESfi: Patient is a Zl-year-oid female brought to the ED by ambulance after she wasT-boned by another vehicle going approximately 60 mph. On arrival to the ED the patient Is complaining of right arm and elbow pain, right foot pain, bilateral knee pain, is GCS 15. Airbags did deploy, patient was wearing her seatbelt. PHYSICAL EXAMi VITAL 5IGN5: Vital Signs: Temperature Oral Heart Rate Respiratory Rate Systolic BP Dlastollc BP Blood Pressure Location Blood Pressure Method SpOS/Pulse Oximetry Dosing BMI VITALS: as above or noted on trauma chart. CONSTITUTIONAL: No acute distress, non-toxic appearing. HEAD: Normocephalic. Atraumatic. EYES: PERRL. ECMI. Conjunctiva normal. No photophobia. ENMT (EAR-NOSE-MOUTH-THROAT): Hearing grossly intact. Mucous membranes moist. No hemotympanum. No septa! hematomas. No intraora! lacerations. NECK: No swelling. Trachea midline. In cervical collar. C-spine nontenderto palpation and without step-offs. PULMONARY: Clear breath sounds bilaterally. No wheezing CHEST; No aepitus on chest wall. No chest wall Instability. Chest wall is nontender. 37 degC (12/06 18:47) 71 bpm (12/06 18:47) 16 breaths/min (12/06 18:47) l.'jS mrriHg (H)(12/06 18:47) 100 mmHg (H)(12/06 18:47) Lefl, Arm (12/06 18:47) Automatic (12/06 18:47) 98%(12/06 18:47) 18 (12/06 18:47) PROBLEM LIST/PAST MEDTCAl msjsmi Ongoing No qualifying data Historical No qualifying data SOCIAL HISTORY: Home/Envlronmont Human Trafficking Red Flags None. Substance Abuse Denies use Tobacco Smoking/Tobacco Use Never smoker. MEDICATIONS ORDERED: No qualifying data available MEDICATIONS ADMINISTERED: Given lopamidol, 75 mL, IV sodium chloride, 60 mL, IV ALLERGIES; No Known Medication Allergies .AB RESULTS: Test Name Test Result Oate/Timo WBC 22.8 iOe9/L (High) 12/06/2025 18:55 PST RBC 4.180 10el2/L 12/06/2025 18:55 PST Hgb 12.3 g/dL 12/06/2025 18:55 PST Hct 37.0%12/06/2025 18:55 PST Report Request ID: 308966244 Page 1 of 104 Printed: 12/18/2025 16:46 CS" Patient: MRN U\ Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Director{s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Jollne H. Abrahams, MD _ _ Emergency/Urgent Care CARDIOVASCULAR: Regular rate. Regular rhythm. VASC: No edema. Radial pulses and DP pulses 2+ bilaterally. Cap refill < 2 seconds GASTROINTESTINAL: soft, NT/ND. GENITOURINARY/RECrAL: Able to squeeze buttocks. No urethra! blood noted. MUSCULOSKELETAL/EXT: Right arm deformity at the elbow, tender to palpation at this area. Bilateral knees and right foot tender to palpation. LUE ROM Intact and nontender to palpation. No swelling. Compartments soft. SKIN/INTEGUMENTARY: No jaundice. BACK; Nontender. No T-spine tenderness. No L-spine tenderness. No swelling or step offs. NEUROLOGIC: Alert and oriented x 4. Motor strength 5/5 in LUE. Motor strength decreased in BL LEs secondary to pain. RUE unable to assess motor strength due to pain and deformity at the elbow. Sensation intact throughout. Speech normal. GCS Total IS (Eyes 4 (spontaneously), Verbal 5 (oriented), Motor 6 (obeys commands)) PSYCHIATRIC: Normal mood. Appropriate affect. PROCFDIJRF: Reduction/Manipulation Procedure Note Time Performed: 0900 Confirmed correct: Patient, procedure, side, site Consent: Patient or legal guardian signed, please see separate consent forms. Risks/benefits were explained and all questions were answered prior to procedure. Indication: Dislocation Location: R elbow Pre procedure exam: Circulation motor and sensory intact Procedural sedation: See separate procedural sedation note and nursing documentation Monitoring: Cardiac, blood pressure, pulse oxlmetry Technique: Traction / Countertractlon Post procedure exam: Circulation motor and sensory intact Immobilization: Fiberglass. Splint/Strapping (performed/placed by myself) was evaluated for effectiveness of Its positioning on the affected limb and proper application. Distal neurovascular exam pre- and post-application of splint was normal. Patient tolerated: Well Plan of care was explained to the patient and/or legal guardian. Recommended follow-up with Orthopedics in 3-5 days. Performed by: Resident physician with attending supervision MEDICAL DECISION MAKING- Patient is a 21-year-oId female brought to the ED by ambulance after she was T-boned by another vehicle going approximately 60 mph. On arrival to the ED the patient is complaining of right arm and elbow pain, right foot pain, bilateral knee pain. Administered 4 mg IV morphine, 4 mg IV Zofran. Left knee x-ray shows ACL avulsion of the tibia! spine In the left knee. Left knee joint effusion. Right elbow x-ray shows posterior dislocation with small fracture fragment likely arisen from a posterior condyle of the humerus. Imaging shows nondisplaced left sacral fracture, and nondisplaced fracture of the left superior and inferior pubic rami. Right knee, right humerus, right wrist x-rays negative for fracture. CXR negative for actue cardiopulmonary abnormality. CT of chest abdomen and pelvis negative, CT of cervical thoracic and lumbar spine negative for acute fracture or deformity. CBC shows leukocytosis 22, otherwise unremarkable. BMP negative for acute electrolyte derangement. Liver enzymes elevated, lipase elevated 335. CK elevated 156, Test Name Test Result Oate/Vi t^CV 08.7 fL 12/06/2025 18;SS PST MCH 29.3 pg 12/06/2025 18:55 PST MCHC 33.1%12/05/2025 18:55 PST ROW 12.5 %12/06/2025 18:55 PST Platelet 368.0 10e9/L 12/06/2023 18:55 PST MPV 8,6 fL 12/06/20Z:-. 18:55 PST Neutrophll Re!82.3 % (High)12/06/202'.- 18:55 PST Lymphocyte Rel 13.4 % (Low)12/06/202'.-: 18:55 PST Monocyte Rel 3.5%12/06/2021 18:55 PST Eosinophll Rel 0.6%12/06/2023 18:55 PST Basophll Rel 0.2 %12/06/202;^ 18:55 PST Neutrophll Abs 18.8 10e9/L (High) 12/06/2025 18:55 PST Lymphocyte Abs 3,1 10e9/L 12/06/2025 18:55 PST Monocyte Abs 0.8 10e9/L 12/06/2035 18:55 PST Eosinophll Abs 0,1 10e9/L 12/06/202? 18:55 P5V Basophll Abs 0.0 10e9/L 12/06/202.? 18:55 PST INR 0.9 Ratio 12/06/202:- 18:55 PST Comments:INR THERAPEUTIC GUIDELINES General Antlcoagulatlon Thera'. INR: 2.0-3.0 Mechanical Prosthetic Valve: INR: 2.5-3.5 PT 10.1 sec 12/06/2025 18:53 PST PTT 22.9 sec 12/06/2025 18:55 PST Comments : PIT RECOMt^ENDED THERAPEUTIC RANGE; [Unfractionaled Heparln] Report Request ID: 308966244 Page 2 of 104 Printed: 12/18/2025 16:46 CS" Patient: MRN #: Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: I Female Lab Medical Director{s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care consistent with mechanism of Injury. Ethanol level not elevated. Coagulation studies within normal limits. 2100: tiger texted ortho, Dr. Pereira, who recommends CT right elbow after reduction in the ED, as well as CT of the left knee In order to determine if surgery Is Indicated. States he will see patient for surgical repair on Monday. Informed trauma team. Reduction of right elbow performed, see procedure note above. CT right elbow and CT left knee ordered. 2300: CT read of L knee shows Impacted fracture deformity of the lateral tiblal plateau with 3 mm depression. Fracture of the tibial spine. Moderate lipohemarthrosis and mild soft tissue edema. CT of R elbow after reduction shows Reduction of the elbow dislocation. Small fracture fragments from the lateral epicondyle. Tiger texted Dr. Pereira CT results, he recommends surgery on Monday with him for knee repair, states he is unsure about the elbow at this time but will inform patient to follow-up. Informed trauma surgery about his recommendation. 2350: Trauma surgery admitting for obs and surgery Monday. Informed patient who Is agreeable to plan. IMPRESSION/PLAN: 1. Blunt trauma T14.90XA 2. MVC (motor vehicle collision) V87.7XXA 3. Right arm pain M79.601 FOLLOW UP: No qualifying data available ATTESTATION: All care was provided under the direct supervision of my attending physician. Further attending assessment and recommendations to follow, Hope Luker, DO PGY-1 Emergency Medicine Resident Physician Attestation of Resident/Medical Student Documentation: I attest that I was physically present for the key portions of the service and evaluated the patient with the Resident/Medical Student, and I reviewed and discussed the case with the Resident/Medical Student and agree with the Resident/Medical Student's findings and plans of care as documented above. Test Name | Test Result | Date/I': PIT = 63 • 81 seconds Corresponds to Unfractionaled Heparin Therapy In vitro levels '-v. 0.3-0.7 U/ml Effective Date; 10/03/2024 Sodium Lvl 137.0 mEq/L 12/06/2025 18:55 PST Potasium Lvl 3.4 mEq/L 12/06/202';"" 18:55 PST Chloride Lvl 106.0 mEq/L 12/08/20/-• 18:55 PST C02 22.0 mEq/L 12/06/2C1: 18:55 PS'.' Anion Gap 9 mEq/L 12/06/20: 18:55 PSr Glucose Level 149 mg/dL (High) 12/06/2025 18:55 PST Comments : GLUCOSE RANDOM or aSUAL [non-fastingj INTERPRETATION: Glucose levels of 200 md/dL or higher suggest possibie DIabctc" diagnosis, especially In the pres^ of symptoms of hyperglycemia o: hyperglycemic crisis. Additional confirmation testing is recommcr. Source: American Diabetes Association, diagnostic criteria, i', website Feb 2022 Calcium Lvl 8.7 mg/dL (Low) 12/06/202: 18:55 PST BUN 16.0 mg/dL 12/06/202?' 18:55 PST Creatlnine Lvl 0.9 mg/dL 12/06/202:. 18:55 PST BUN/Creat 17,8 Ratio 12/06/202S. 18:55 PST Albumin Lvl 4.0 g/dL 12/06/2025 18:55 PST Globulin 3.4 9/dL 12/06/2025 18:55 PST A/G ratio 1.2 Ratio 12/06/2025 18:55 PST Alk Phos 72 units/L 12/06/2025 18:55 PST ALT 53.0 unltS/L (High) 12/06/2025 18:55 PST Report Request ID: 308966244 Page 3 of 104 Printed: 12/18/2025 16:46 CC Patient: MRN#: Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N, Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Djrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care Test Name Test Result Dale/''" AST 98.0 units/L (High) 12/06/2025 18:55 PST Upase Lvl 335 units/L (High) 12/06/2025 18:55 PST Bill Total 0,5 mg/dL 12/06/202.S 18:55 PS^" CK Total 156 units/L 12/06/2025 18:55 PST - Total Protein 7.4 g/dL 12/06/20.'^ 18:55 PST - eGFR CKD-EPI 57 mL/min/l.73m2 (Low) 12/06/202.'; 18:55 PST Ettianol Lvi <10.0 mg/dL 12/06/2025 18:55 PST Comments: BLOOD ALCOHOL INTtRPRETAT (Units of measure) mg/dl Gm% Normal: Negative/ <10 Negative/ <0/ii Slowed reflexes, impaired visu:^i acuity: 50 • 100 0.05 - 0.10 Depression of CNS; 100 >0.10 Fatalities Reported: 40D > 0.40 Note: This test is performed for clinical / medical purposes only:, chaln-of-custody is not maintai:. the specimen. BB ID Number FKK1801 12/06/202. 18:55 PST ABORh Bid Gr/Tp 0 PCS 12/06/2021; 18:55 PST Antibody Screen Negative ABSC 12/06/2025V,.. 18:55 PST • RADIOLOGY/DIAGNQSTIC REStJLTR: Diaanostics - Non-RadiolQav (0\ No qualifying data. X-ray: Right elbow # Views: 2 Interpretation: No dislocation. No STS. _ Positive elbow dislocation Indication: Injury. Impression: Right elbow posterior dlslocai Report Request ID: 308966244 Page 4 of 104 Printed: 12/18/2025 16:46 C: Patient: MRN #; Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 I 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Director(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Jollne H. Abrahams, MD Emergency/Urgent Care with small fracture fragment likely arisen f.: a posterior condyle of the humerus. The x-rays were independently viewed an i Interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD • -v, X-ray: _ Left knee # Views: 4 Interpretation: No dislocation. No SIS. _ Positive avulsion of tibial spine Indication: Injury. Impression: ACL avulsion of the tibial spi the left knee. Left knee joint effusion, The x-rays were independently viewed a; Interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD X-ray: Right Foot # Views: 2 Interpretation: No acute fracture. No disloration. No STS. Indication: Injury. Impression: No acute fracture or dislocat' The x-rays were Independently viewed ai Interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD X-ray: _ Right Forearm # Views: 2 Interpretation: No acute fracture. Positive dislocation. No STS. _ Indication: Injury. Impression: elbow dislocation, no forearm fracture The x-rays were independently viewed ana interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD X-ray: _ Right Humerus # Views: 2 Interpretation: No acute fracture. Positive dislocation. No STS. Report Request ID: 308966244 Page 5 of 104 Printed: 12/18/2025 16:46 CC Patient: MRN#: Account#: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: I Female Lab Medical Director(8): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care Indication: Injury. Impression: elbow dislocation, no humer:.; fracture The x-rays were independently viewed an. interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD X-ray: R knee # Views: 4 Interpretation: No acute fracture. No dislocation. No SIS. Indication: Injury. Impression: No acute fracture or dislocat'Cii The x-rays were independently viewed ant!-, interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD X-ray: _ Right wrist # Views: 2 Interpretation: No acute fracture. No dislocation, No STS. Indication: Injury. Impression: No acute fracture or dislocati •. The x-rays were independently viewed ar., interpreted contemporaneously by me, Electronically Signed by: Attending r Physician, Grant Nelson, MD X-ray: Chest x-ray Views: 1 view Interpretation: no pneumothorax, no effus:: no cardiomegaly, no Infiltrate. _ Indication; Pain Impression: No acute disease process The x-rays were independently viewed and interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD X-ray: _ Pelvis # Views: 1 Interpretation: No acute fracture. No dislocation. No STS. Indication: Injury. Impression: No acute fracture or dlsiocatk;.: Report Request ID: 308966244 Page 6 of 104 Printed: 12/18/2025 16:46 C: Patient: MRN#: Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Director(s): AWAO DO.KYRILLOS 12/7/2025 12/11/2025 Joiine H. Abrahams. MD Emergency/Urgent Care The x-rays were independently viewed an interpreted contemporaneously by me. Electronically Signed by: Attending Physician, Grant Nelson, MD CT Knee W/0 Contrast Left (12/06 22., FINDINGS: BONES: Impacted fracture deformity of the lateral tibial plateau with depression measuring 3 mm. Fracture of the tibial spine. Focal are: sclerosis In the posterior proximal tibia consistent with a bone island. JOINTS: No dislocation, Moderate ilpohemarthros;: The joint spaces are normal. SOFT TISSUES: Mild soft tissue edema. IMPRESSION; 1. Impacted fracture deformity of the late.iv>; tibial plateau with 3 mm depression. 2. Fracture of the tibial spine. 3. Moderate lipohemarthrosis and mild so: . tissue edema, CT Abdomen And Pelvis W/ Contrast (12/06 19:51) FINDINGS: CHEST; LUNGS AND PLEURAL SPACES: The lungs n clear. No pulmonary contusions or consolidations. No significant pleural effusions or pneumothorax. HEART: Heart chambers are normal in sire No significant perlcardial effusions. No significant coronary artery calcifications. ABDOMEN: LIVER: Liver Is homogeneous. No lacerate or worrisome lesions. Report Request ID: 308966244 Page 7 of 104 Printed; 12/18/2025 16:46 OS Patient; MRN#: Account #: DOB/Age/Sex; MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date; / Female Lab Medical Director(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care GALLBLADDER AND BILE DUCTS: Gallblr-:; is clear. No calcified stones, No ductal dilation PANCREAS; Pancreas is normal. No ductal dilation. -i • SPLEEN; Unremarkable. ;• No splenic lacerations. ADRENALS; Unremarkable. No mass. ■.>■•( KIDNEYS AND URETERS: Unremarkable. solid mass. No renal stones, hydronephrosls, or t lacerations. •■i.-STOMACH AND BOWEL: Small and largu" bowel are normal in caliber. No mucosal thickening. PELVIS: APPENDIX: No findings to suggest acute: appendicitis. BLADDER: Urinary bladder is intact. REPRODUCTIVE: Unremarkable as visual-, No acute uterine or adnexal pathok^p'; THORACIC and LUMBAR SPINE: ;■ VERTEBRAE: There is normal alignment i thoracic and lumbar spine. No evidence spondylolisthesis. Vertebral body heights preserved. Intervertebral discs are mainh.' Posterior elements are intact. No acute thoracic or lumbar spine fracture. DISCS/SPINAL CANAL/NEURAL FORAMIN- :No acute findings. No spinal canal steni.;. ^ CHEST, ABDOMEN and PELVIS: INTRAPERITONEAL SPACE: Unremarkabl.;- No significant fluid collection, No free aL, BONES/JOINTS; There Is a cortical buckll;",p the left sacrum consistent with nondisplacc-' fracture. Slight cortical buckling of the left supc; and inferior pubic rami suggest nondisplacv; fracture. Questionable mild cortical buckling of left anterior second rib. No other obvious" fractures. SOFTTISSUES: Unremarkable. VASCULATURE; Thoracic and abdominal r: ;. are normal in caliber. No evidence of dissection or aneurysm. LYMPH NODES: Unremarkable. No enfaf.;.: Report Request ID; 308966244 Page 8 of 104 Printed: 12/18/2025 16:46 C/ Patient: MRN #: Account#; DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 1 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs. OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Director(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care lymph nodes. IMPRESSION: 1. Nondisplaced left saaal fracture and nondisplaced fracture of the left superior ii-.: inferior pubic rami. 2. Questionable mild cortical buckling of tin-: left anterior second rib. 3. No other acute traumatic injury of the .• chest, abdomen, or pelvis. 4. No acute thoracic or lumbar spine fracL CT Chest W/ Contrast (12/06 19:51) FINDINGS: CHEST: LUNGS AND PLEURAL SPACES: The lungs :, clear. No pulmonary contusions or consolidations. No significant pleural effusions or pneumothorax. HEART: Heart chambers are normal In si; •. No significant pericardial effusions. No significant coronary artery calcifications. ABDOMEN: LIVER: Liver Is homogeneous. No laceroiJc. • or worrisome lesions. GALLBLADDER AND BILE DUCTS: Gallbladd is dear. No calcified stones. No ductal dilatioii*. PANCREAS: Pancreas is normal. No ductal dilation. SPLEEN: Unremarkable. No splenic lacerations. 'w ADRENALS: Unremarkable. No mass. KIDNEYS AND URETERS: Unremarkable. N" solid mass. No renal stones, hydronephrosis, or lacerations. STOMACH AND BOWEL: Small and large bowel are normal In caliber. No mucosal thickening. PELVIS: APPENDIX: No findings to suggest acute appendicitis. BLADDER: Urinary bladder is intact. Report Request ID: 308966244 Page 9 of 104 Printed: 12/18/2025 16:46 Oc-'f Patient; MRN #: Account #: OOB/Age/Sex; MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Dlrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Jollne H. Abrahams, MD Emergency/Urgent Care REPRODUCTIVE: Unremarkable as visualizec' No acute uterine or adnexal pathology. THORACIC and LUMBAR SPINE: VERTEBRAE: There is normal alignment of thoracic and lumbar spine. No evidence or spondylolisthesis. Vertebra! body heights a.: preserved. Intervertebral discs are maintc' i Posterior elements are Intact. No acute thoracic or lumbar spine fracture. DISCS/SPINAL CANAL/NEURAL FGRAMIN,'.: No acute findings. No spinal canal steno.- • CHEST, ABDOMEN and PELVIS: INTRAPERITONEAL SPACE: Unremarkable. - No significant fluid collection. No free air. BONES/JOINTS: There is a cortical bucklin-; the left sacrum consistent with nondisplact.! fracture. Slight cortical buckling of the left sup'c. and Inferior pubic rami suggest nondlsplao ^ fracture. Questionable mild cortical buckling of tr.' left anterior second rib. No other obvious i lt fractures. SOFT TISSUES: Unremarkable. VASCULATURE: Thoracic and abdominal a; are normal in caliber. No evidence of dissection or aneurysm. LYMPH NODES: Unremarkable. No eniar; lymph nodes. IMPRESSION: 1. Nondlsplaced left sacral fracture and nondisplaced fracture of the left superior an Inferior pubic rami. 2. Questionable mild cortical buckling of tht left anterior second rib. 3. No other acute traumatic injury of the chest, abdomen, or pelvis. 4. No acute thoracic or lumbar spine fractui CT Spine Lumbar W/ Contrast (12/06 19:51) FINDINGS: CHEST: LUNGS AND PLEURAL SPACES: The lungs dear. No pulmonary contusions or Report Request ID: 308966244 Page 10 of 104 Printed: 12/18/2025 16:46 CC-: Patient: MOROSOFF, SOPHIA MRN#: 1326917 Account#: 252562913 DOB/Age/Sex: 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Director(3): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joiine H. Abrahams, MD Emergency/Urgent Care consolldations. No significant pleura! effusions or pneumothorax. HEART: Heart chambers are normal In s:?,e, No significant pericardia! effusions. No significant coronary artery calcifications, ABDOMEN: LIVER: Liver is homogeneous. No laceratic i or worrisome lesions. GALLBLADDER AND BILE DUaS: Gallblacc is clear. No calcified stones. No ductal dilatior,. PANCREAS: Pancreas Is normal. No ductal dilation. SPLEEN: Unremarkable. No splenic lacerations. ADRENALS: Unremarkable. No mass. KIDNEYS AND URETERS: Unremarkable. solid mass. No renal stones, hydronephrosis, or ' lacerations. STOMACH AND BOWEL: Small and large bowel are normal In caliber. No mucosal thickening. PELVIS; APPENDIX: No findings to suggest acute appendicitis. BLADDER: Urinary bladder Is intact. REPRODUCTIVE: Unremarkable as visuali;;- No acute uterine or adnexal pathology. THORACIC and LUMBAR SPINE: VERTEBRAE: There Is normal alignment c'. thoracic and lumbar spine. No evidence of spondyloilsthesis. Vertebral body heights a-t preserved. Intervertebral discs are maintain- Posterior elements are Intact. No acute thoracic or lumbar spine fracture. DISCS/SPINAL CANAL/NEURAL FORAMI.NV^, No acute findings. No spinal canal steri':^^; CHEST, ABDOMEN and PELVIS; INTRAPERITONEAL SPACE: Unremarkablv. No significant fluid collection. No free air. BONES/JOINTS: There Is a cortical buck!i.';'j the left sacrum consistent with nondlsplaccr; fracture. Report Request ID: 308966244 Page 11 of 104 Printed: 12/18/2025 16:46 031 Patient: MRN#: Account#: DOB/Age/Sex; MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date; / Female Lab Medical Director(s): AWAD DO,KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams. MD Emergency/Urgent Care Slight cortical buckling of the left sup&i'. and inferior pubic rami suggest nondisplacoc" fracture. Questionable mild corticai buckling of li left anterior second rib. No other obvious r^i:: fractures. SOFT TISSUES: Unremarkable. VASCULATURE: Thoracic and abdominal ac are normal in caliber. No evidence of dissection oraneurysm. LYMPH NODES: Unremarkable. No enlan;: lymph nodes. IMPRESSION: 1. Nondlsplaced left sacral fracture and nondisplaced fracture of the left superior an inferior pubic rami. 2. Questionable mild cortical buckling of the left anterior second rib. 3. No other acute traumatic injury of the chest, abdomen, or pelvis. 4. No acute thoracic or lumbar spine fractu: CT Spine Thoracic W/ Contrast (12/05 19:51) FINDINGS: CHEST: LUNGS AND PLEURAL SPACES: The lungs : clear. No pulmonary contusions or consolidations. No significant pleural effusions or pneumothorax. HEART: Heart chambers are normal in size. No significant pericardlal effusions. No significant coronary artery calcifications. ABDOMEN: LIVER: Liver is homogeneous. No laceratiofi or worrisome lesions. GALLBLADDER AND BILE DUCTS: GallbladJ is dear. No calcified stones. No ductal dilation. PANCREAS: Pancreas is normal. No ductal dilation. SPLEEN: Unremarkable. No splenic lacerations. ADRENALS: Unremarkable. No mass. Report Request ID: 308966244 Page 12 of 104 Printed: 12/18/2025 16:46 C£-i Patient: MRN #; Account#; DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Dlrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Ernergency/Urgent Care KIDNEYS AND URETERS: Unremarkable. K solid mass. No renal stones, hydronephrosis, or lacerations. STOMACH AND BOWEL: Small and large bowel are normal in caliber. No mucosai thickening. PELVIS: APPENDIX: No findings to suggest acute appendicitis. BLADDER: Urinary bladder is intact. REPRODUCTIVE: Unremarkable as visualize'.' No acute uterine or adnexal pathology, THORACIC and LUMBAR SPINE; VERTEBRAE: There is normal alignment of < thoracic and lumbar spine. No evidence of spondyioiisthesis. Vertebral body heights acf preserved. Intervertebral discs are maintai": Posterior elements are Intact. No acute thoracic or lumbar spine fracture. DISCS/SPINAL CANAL/NEURAL FORAMINA: No acute findings. No spinal canal stenosis. CHEST, ABDOMEN and PELVIS: INTRAPERITONEAL SPACE: Unremarkable. No significant fluid collection. No free air. BONES/JOINTS: There is a cortical bucklir-.c the left sacrum consistent with nondispiacec' fracture. Slight cortical buckling of the left superir and inferior pubic rami suggest nondisplacec fracture. Questionable mild cortical buckling of th.'. left anterior second rib. No other obvious rib fractures. SOFT TISSUES: Unremarkable. VASCULATURE: Thoracic and abdominal aoi are normal in caliber. No evidence of dissection or aneurysm. LYMPH NODES: Unremarkable. NoeniargeL lymph nodes. IMPRESSION: 1. Nondispiaced left sacral fracture and nondisplaced fracture of the left superior f;n inferior pubic rami. 2. Questionable mild cortical buckling of the left anterior second rib. Report Request ID: 308966244 Page 13 of 104 Printed; 12/18/2025 16:46 C3T Patient: MRN #: Account U: DOB/Age/Sex; MOROSOFF. SOPHIA 1326917 252562913 3/17/2004 I 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Disctiarge Date: I Female Lab Medical Director{s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H, Abrahams, MD Emergency/Urgent Care 3. No other acute traumatic injury of the chest, abdomen, or peivis. 4. No acute thoradc or lumbar spine fractu! CTA Neck W/ Contrast (12/06 19:50) FINDINGS: VASCULATURE: RIGHT COMMON CAROTID ARTERY: No.ag findings. No occlusion or significant stenosi;; No dissection. RIGHT INTERNAL CAROTID ARTERY: No acute findings. Extracranial segment is pc\r: with no occlusion or significant stenosis. Nc dissection. RIGHT E)CTERNAL CAROTID ARTERY: No acute findings, No occlusion. RIGHT VERTEBRAL ARTERY: No acute findings. No occlusion or significant stenosi. No dissection. LEFT COMMON CAROTID ARTERY: Noao.c findings. No occlusion or significant stenosi. No dissection. LEFT INTERNAL CAROTID ARTERY: Noacu. findings. Extracranial segment is patent with no occlusion or significant stenosis. No dissection, LEFT EXTERNAL CAROTID ARTERY: No x i findings. No occlusion. LEFT VERTEBRAL ARTERY: No acute flndinc No occlusion or significant stenosis. No dissection. NECK: BONES/JOINTS: No acute findings. Noacur fracture. SOFT TISSUES: No acute findings. LUNG APICES: Clear. CAROTID STENOSIS REFERENCE USING NASCET CRITERIA; % ICA stenosis = (1 - narrowest ICA diameter/diameter of distal cervical ICA) x 100. Mild - <50% stenosis. Moderate - 50-69% stenosis. Severe - 70-94% stenosis. Report Request ID: 308966244 Page 14 of 104 Printed: 12/18/2025 16:46 GST Patient: MRN #: Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Dlrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joiine H. Abrahams, MD Emergency/Urgent Care Near occlusion - 95-99% stenosis. Occluded -100% stenosis. IMPRESSION: No acute injury in the arteries of the neck. CT Spine Cervical W/0 Contrast (12/05 19:49) FINDINGS: BRAIN: Gray-white matter differentiation is maintained. No acute intracranial hemorrhage or effect, VENTRICLES; Ventricles and CSF spaces on; symmetric without hydrocephalus. SKULL: Chronic appearing opacification of t: right maxillary, anterior ethmoid, and fronta sinuses. SINUSES: See above. MASTOID AIR CELLS: Mastold air cells are clear. ORBITS; Orbital globes and orbital sockets are intact. VERTEBRAE: Odontoid process and posteric: elements are intact. No cervical spine fracUi " identified. Normal alignment of the cervical spine. Vertebral body heights and intervertebrai di;.; are maintained, DISCS/SPINAL CANAL/NEURAL FORAMINA: No acute findings. No spinal canal stenosis, OTHER BONES/JOINTS: Calvarium and scal.j are intact. SOFT TISSUES: No acute soft tissue abnormality of the neck. LUNG APICES: Partially visualized lung apjce.*: are clear. IMPRESSION: 1. No acute intracranial abnormality or cervical spine fracture. 2. Chronic appearing sinus disease as notec. CT Head or Brain W/0 Contrast (12/06 19:41) FINDINGS: Report Request ID: 308966244 Page 15 of 104 Printed: 12/18/2025 16:46081 Patient: MRN #: Account #; DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date; I Female Lab Medical Director{s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Jollne H. Abrahams, MD Emergency/Urgent Care Electronically Signed On 12/06/25 23:51 PST LUKER DO. HOPE Q Electronically Signed On 12/07/25 11:04 PST LUKER DO. HOPE Q Electronicaiiy Signed On 12/07/25 15:10 PST NELSON MD. GRANT BRAIN: Gray-white matter differentiation is maintained. No acute intracranlal hemorrhage or mas: effect. VENTRICLES: Ventricles and CSF spaces arc symmetric without hydrocephalus. SKULL: Chronic appearing opacification of tli :i right maxillary, anterior ethmoid, and frontal sinuses. SINUSES: See above. MASTOID AIR CELLS: Mastold air cells are clear. ORBITS: Orbital globes and orbital sockets are Intact. VERTEBRAE: Odontoid process and poste; !- elements are Intact. No cervical spine fractu identified. Normal alignment of the cervical spine. Vertebral body heights and intervertebral dis-,. are maintained. DISCS/SPINAL CANAL/NEURAL FORAMINA: No acute findings. No spinal canal stenosis. OTHER BONES/JOINTS: Calvarium and scslji are Intact. SOFT TISSUES: No acute soft tissue abnormality of the neck. LUNG APICES: Partially visualized lung apicc are clear. IMPRESSION: 1. No acute intracranlal abnormality or cervical spine fracture. 2. Chronic appearing sinus disease as noted Report Request ID: 308966244 Page 16 of 104 Printed: 12/18/2025 16:46 GST Patient: MRN #; Account #: MOROSOFF, SOPHIA 1326917 252562913 Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: AWAD DO.KYRILLOS 12/7/2025 12/11/2025 DOB/Age/Sex: 3/17/2004 / 21 years / Female Lab Medical Director(s); Joline H. Abrahams, MD Emergency/Urgent Care Document Type: Document Subject: Document Date/Time: Document Status: Performed By: Authenticated By: ED Triage Form-Text ED Screenings/History Adult 12/6/2025 19:13 PST Auth (Verified) Downing RN,David (12/6/2025 19:13 PST) Downing RN.David (12/6/2025 19:13 PST) ED Screenings/History Adult Entered On: 12/06/2025 19:18 PST Performed On: 12/08/2025 19:13 PST by Downing RN, David ED Arrival Details ED Visit Result of injury : Yes Trauma Page Documentation : No Information Given By : Patient, EMT/Paramedic Mode of Arrival : Ambulance Accompanied By : EMT/Paramedic Procedures : IV initiated, Saline lock initiated ED Mechanism of Injury HW #2 Location: Driver Trauma Prearrival Notification : Yes impact Location : Driver side Intrusion: <12in Force of Impact: Moderate Trauma Alert Level Billing : Partial (2) Speed of Vehicle : 60 Extrication: Yes Trauma Date Time Location ; 12-6-25 Airbag Deployed ; (+) Front, (+) Side Trauma Injury Loss of Consciousness : Yes Impact Windshield ; No Rollover: No Ejected: No Partial Ejection : No Sepsis Screening Suspected infection: None SIRS Signs/symptoms: None Sepsis/SiRS interventions : No known/suspected infection Downing RN, David - 12/06/2025 19:13 P -f Downing RN, David - 12/06/2025 19:13 ? Report Request ID: 308966244 Page 17 of 104 Printed: 12/18/2025 16:46 CST Patient: MOROSOFF, SOPHIA MRN#: 1326917 Account#: 252562913 DOB/Age/Sex; 3/17/2004 / 21 years Desert Regional Medical Center 1150 N, Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date; / Female Lab Medical Dlrector{s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H, Abrahams, MD Emergency/Urgent Care CSSRS Pre-Screener Patient is 6 Years of Age or Older: Yes Suicide Present Sign Symptom BH Cmplaint: No Nurse Screening Nutritional Risk Factors : No nutrition problems noted Abuse/Neglect Screen : No evidence of abuse/neglect TB Screen : No symptoms or risk factors identified Advance Directive Advance Directive: No Advance Directive Additional Information : Information refused Anesthesia/Transfuslons Emergency Blood Transfusion Acceptable : Unable to answer Adult Tissue Integrity Screening Adult; Bound to bed or wheelchair: No Adult: Incontinent of urine or stool : No Adult: Existing or History of Pressure Injury : No Adult: Risk of skin breakdown from devices : No ED Adult: Tissue integrity Screen Score : 0 ED Aduit; Tissue intgrty Screen Trigger: No Pneumonia & Infectious Hx Screening Notification:: No respiratory complaints present Infectious Exposure Symptoms : None Morse Fall Risk Fail Hx Within Last 12 Months : No Secondary Diagnosis Present: No Ambulatory Aid : None, bedrest, wheelchair, nurse assist IV/IV Access: Yes Gait/Transfer Morse : Normal, bedrest, wheelchair Mental Status Morse : Oriented to own ability Morse Fall Risk Score : 20 Social History Social Historv Tobacco: Downing RN, David - 12/06/2025 19:13 PC Downing RN, David - 12/06/2025 19:13 PCT Downing RN, David -12/06/2025 19:13 P. Downing RN, David - 12/06/2025 19:13 P:. Downing RN, David - 12/06/2025 19:13 P' Downing RN. David - 12/06/2025 19:13 P.yi Downing RN, David - 12/06/2025 19:13 P3 Downing RN, David - 12/06/2025 19:13 Piv. (As Of: 12/06/2025 19:18:34 Pf,.) Smoking/Tobacco Use Never smoker. (Last Updated: 12/06/2025 19:18:20 PST by Downing RN, David) Report Request ID: 308966244 Page 18 of 104 Printed: 12/18/2025 16:46 CST Patient: MRN #; Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Paim Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date; / Female Lab Medical Director(s}: AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Substance Abuse: Home/Environment: Emergency/Urgent Care Denies use (Last Updated: 12/06/2025 19:18:24 PST by Downing RN, David) Human Trafficking Red Fiags None. (Last Updated: 12/06/2025 19:18:30 PST by Downing RN, David) Sociai Needs Opt Gut/Unable To Respond SDOH Pt/Caregvr Opt Out of Screening : Yes SDOH Opt Out Response History RTF : Social Needs Opt Out Response History No qualifying data avaiiabie. Downing RN, David - 12/06/2025 19:13 Document Type: Document Subject: Document Date/Time: Document Status; Performed By; Authenticated By: ED Triage Form - Text ED Triage Part 1 12/6/2025 18:47 PST Auth (Verified) Downing RN,David (12/6/2025 19:13 PST) Downing RN.David (12/6/2025 19:13 PST) ED Triage Part 1 Entered On: 12/06/2025 19:16 PST Performed On: 12/06/2025 18:47 PST by Downing RN. David ED Triage HW Chief Complaint: MVA Pregnancy Status: N/A Pain Present : Yes actual or suspected pain ED Triage Assess Baby Deliver Last 12 Mo : N/A Recent Travel : No travel inside or outside the country within last 30 days Infectious Exposure Symptoms ; None Systolic Biood Pressure : 155 mmHg (HI) Diastoiic Blood Pressure : 100 mmHg (HI) Blood Pressure Method : Automatic Blood Pressure Location : Left. Arm Heart Rate: 71 bpm Pulse/HR Method : Monitor Best Verbal Response : Oriented Best Eye Opening Response : Spontaneously Report Request ID: 308966244 Page 19 of 104 Printed; 12/18/2025 16:46 CST Patient: MRN #: Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Director(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H, Abrahams, MD Emergency/Urgent Care Best Motor Response : Obeys simple commands Respiratory Rate : 16 breaths/min Sp02: 98% Oxygen Delivery; Room air GCS Total Score : 15 Temperature Oral : 37 degC(Converted to; 98.6 degP) Method for Height: Stated Method for Weight: Stated Height: 162 cm(Converted to: 5 ft 4 in, 63.78 in) Weight: 48 kg(Converted to: 105.822 lb) Dosing BSA-Mosteller : 1.47 m2 Dosing BMI : 18 Mentation Perfusion Hydration Assessment: Alert, Awake, Pink, Warm, Mucous membranes moist ESI Level 1 : No ESlLevei2: Yes Recommended ESI Level : 2 PGP GENERIC CODE ESI Level : 2 ESI Tracking Group : DES ED Tracking Group 2012 Downing RN. David - 12/06/2025 19:13 F Downing RN, David - 12/06/2025 19:13 P. (As Of: 12/06/2025 19:16:12 PL. , Problems/Actlvel No Chronic Problems (Cerner :NKP) Name of Problem: RN, David; Code: ; Life Cycle Date: No Chronic Problems ; Recorder: Downing NKP ; Last Updated: 12/06/2025 19:14 PST 12/06/2025 ; Life Cycle Status: Active ; Vocabulary: Cerner Diaonoses/Activel Trauma - minor Date: 12/06/2025 ; Diagnosis Type: Reason For Visit; Confirmation: Complaintof; Clinical Dx; Trauma - minor; Classification; Nursing ; Clinical Service: Emergency medicine ; Code: PNED ; Probability: 0 ; Diagnosis Code: 6CB2C99D-9C81-4922-A7FC-421A8643967C Pain Assessment Scales Numeric Rating Pain Score : Numeric Rating Pain Scale :5 = Moderate pain Downing RN, David - 12/06/2025 19:13 PC :' Unhoused Screening Stay at shelter, motel or other: No Stay in vehicle, tent, park or other: No Stable/consistent home to sleep nightly : Yes Report Request ID: 308966244 Page 20 of 104 Printed: 12/18/2025 16:46 CST Patient: MRN n\ Account #: DOB/Age/Sex: MOROSOFF. SOPHIA 1326917 252562913 3/17/2004 I 21 years Desert Regional Medical Center 1150 N, Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Dlrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care Section Completed by : Downing RN, David Downing RN, David - 12/06/2025 19:13 Document Type: Document Subject: Document Date/Time: Document Status: Performed By: Authenticated By: ED Triage Assessment - Text ED Triage Part 2 12/6/2025 19:13 PST Auth (Verified) Downing RN.David (12/6/2025 19:13 PST) Downing RN.David (12/6/2025 19:13 PST) ED Triage Part 2 Entered On: 12/06/2025 19:16 PST Performed On: 12/08/2025 19:13 PST by Downing RN. David ED Allergies/Home Meds HW #2 Allergies Collected: Yes Allergies (Acllve) No Known Medication Ailergies Downing RN, David n 12/06/2025 19:13 PC (As Of: 12/06/2025 19:16:23 PS" Estimated Onset Date: Unspecified ; Created By: Downing RN, David; Reaction Status: Active ; Category: Drug; Substance: No Known Medication Allergies ; Type; Allergy ; Updated By: Downing RN, David; Reviewed Date: 12/06/2025 19:16 PST Medication List Normal Order ondansetron 2 mg/mL injection; 2 ml (As Of: 12/06/2025 19:16:23 PST, : ondansetron 2 mg/mL injection; 2 ml; Status: Ordered ; Ordered As Mnemonic: Zofran ; Simple Display Line: 4 mg = 2 ml, IV Push, Once Scheduled ; Ordering Provider: LUKER DO, HOPE Q; Catalog Code: ondansetron ; Order Dt/Tm: 12/06/2025 18:56:08 PST morphine 4 mg/mL injection; 1 mL : morphine 4 mg/mL injection; 1 mL ; Status: Ordered ; Ordered As Mnemonic: morphine ; Simple Display Line: 4 mg = 1 mL, IV Push, Once Scheduled ; Ordering Provider; LUKER DO, HOPE Q; Catalog Code: morphine ; Order Dt/Tm: 12/06/2025 18:56:07 PST Report Request ID: 308966244 Page 21 of 104 Printed: 12/18/2025 16:46 CST" Patient; MRN #: Account #: DOB/Age/Sex; MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: I Female Lab Medicai Director(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joiine H. Abrahams, MD tetanus-dlphth-pertussis (Tdap) vaccine; 0.5 mL Emergency/Urgent Care : tetanus-diphth-pertussis (Tdap) vaccine; 0.5 ml; Status: Ordered ; Ordered As Mnemonic: tetanus/diphtheria/pertussis, acel (Tdap); Simpie Dispiay Line: 0.5 mL, IntraMuscuiar, Once Scheduled ; Ordering Provider: LUKER DO, HOPE Q; Catalog Code: tetanus/diphtheria/pertussis, acel (Tdap ; Order Dt/Tm: 12/06/2025 18:56:08 PST Document Type: Document Subject: Document Date/Time: Document Status: Performed By: Authenticated By: ED Discharge Form - Text ED Disposition 12/7/2025 01:55 PST Auth (Verified) Rocha RN,Erika (12/7/2025 02:00 PST) Rocha RN,Erika (12/7/2025 02:00 PST) ED Disposition Entered On; 12/07/2025 02:00 PST Performed On: 12/07/2025 01:55 PST by Rocha RN, Erika ED Discharged From ED DES Disposition :Desert Regional Medical Center Rocha RN, Erika - 12/07/2025 02:00 PS" Vital Signs Pain Present: Yes actual or suspected pain Height: 162 cm(Converted to: 5 ft 4 In, 63.78 in) Weight: 48kg(Convertedto: 105lb 13ounce) Dosing BMl: 18 Dosing BSA-Mosteller: 1.47 m2 Pain Assessment Tools Numeric Rating Pain Scale : 3 Numeric Rating Pain Score : 3 ED DES Disposition ED Mode of Discharge : Stretcher ED Disposition: Admit ED DES Admit To : MedSurg ED Condition : Good. Stable, Improved ED Accompanied by : Other: friend ED Suture Removal : No Discharge Comments : see trauma chart Rocha RN, Erika -12/07/2025 02:00 PC7 Rocha RN, Erika -12/07/2025 02:00 PST Report Request iD: 308966244 Page 22 of 104 Printed; 12/18/2025 16:46 CST Patient: MRN #: Account #; OOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Dlrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Jollne H, Abrahams. MD Emergency/Urgent Care Rocha RN, Erika - 12/07/2025 02:00 PS' Document Type: Document Subject: Document Date/Time: Document Status: Performed By: Authenticated By: Depart Summary Depart Summary Depart Summary 12/7/2025 02:00 PST Auth {Verified) Rocha RN,Erika (12/7/2025 02:00 PST) Rocha RN,Erika (12/7/2025 02:00 PST) Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, CA 92262-4872 Phone: 7603236251 Patient Education & Visit Summary: Name: MOROSOFF, SOFIA Address: 77305 CALIFORNIA DR PALM DESERT CA 92211 -7805 Phone: DOB: 03/17/2004 MRN: 1326917 Acct#: 252562913 Arrival Time: 12/06/2025 18:35:00 ED Discharge Time: 12/07/2025 02:00:47 VISIT INFORMATION: Chief Complaint: MVA Patient Diagnosis: 1 :Blunt trauma; 2:MVC (motor vehicle collision); 3 :Right arm pain Primary Care Provider: Discharge Location: Allergy Info: No Known Medication Allergies Medications Given: PRESCRIPTIONS: IMMUNIZATIONS: Major Tests and Procedures: Report Request ID: 308966244 Page 23 of 104 Printed; 12/18/2025 16:46 CST AWAD DO.KYRiLLOS 12/7/2025 12/11/2025 Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Patient; MOROSOFF, SOPHIA Attending Provider MRN#: 1326917 Admission Date: Account#: 252562913 Discharge Date: DOBIAge/Sex: 3/17/2004 / 21 years / Female Lab Medical Director(s): Joline H. Abrahams, MD I Emergency/Urgent Care Laboratory Orders Name StatuDetails s ABORH^®"^ ^2/06/25 19:01:00 PST, RICHARD.DISCUTIDO, ST-Stat, Venous Draw,Pjp-P plete 12/06/25 19:01:00 PST, DBS Central, RICHARD.DISCUTIDO, Hold Until Collected d -INHERIT ABORh „ Type P ® 12/06/25 18:56:00 PST, 12/06/25 18:56:00 PST, Print Label Y/N Antlbod Com y plete Blood, Stat, ST - Stat, 12/06/25 18:56:00 PST, 12/06/25 18:56:00 PST, Print Label Y/N Screen d CBC Com w/auto plete Blood, Stat, 12/06/25 18:56:00 PST, ST - Stat, Print Label Y/N, Hold Until Collected DIff d CBC Orde Blood, AM Collection, 12/08/25 2:15:00 PST, RT- Routine, Print Label Y/N, Hold Until w/o Diff red Collected Com CK plete Blood. Stat, 12/06/25 18:56:00 PST. ST-Stat, Print Label Y/N. Hold Until Collected d Com CMP plete Blood. Stat. 12/06/25 18:56:00 PST, ST - Stat, Print Label Y/N. Hold Until Collected d Orde Blood. AM Collection. 12/08/25 2:15:00 PST. RT - Routine. Print Label Y/N, Hold Until red Collected p., I Com I \/i Blood, Stat, 12/06/25 18:56:00 PST, ST - Stat, Print Label Y/N, Hold Until Collected d Lioase olete "^2/06/25 18:56:00 PST, Nurse Collect. ST - Stat, Print Label Y/N, Hold Until^ j Collected d Manual Blood, Stat, Collected, 12/06/25 18:55:00 PST. ST-Stat, 12/06/25 18:55:00 PST, Diff 156402427.000000, Hold Until Collected Com PT plete Blood, Stat. 12/06/25 18:56:00 PST, ST - Stat, Print Label Y/N, Hold Until Collected d Report Request ID: 308966244 Page 24 of 104 Printed: 12/18/2025 16:46 CST Patient: MOROSOFF, SOPHIA MRN#: 1326917 Account#: 252562913 DOB/Age/Sex: 3/17/2004 / 21 years Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date; Discharge Date: / Female Lab Medical Dlrector(s): AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Com PTT plete d U Drug Orde Screen red UA Rfx Orde Culture red Emergency/Urgent Care Urine, Stat, 12/06/25 18:56:00 PST, ST - Stat, Print Label Y/N, Hold Until Collected Radiology Orders Name Stat Details us And'^Pelvis W olete 18:56:00 PST. Abdominal Injury, 12/06/25 18:56:00 PST.^ Stretcher, Yes. 6251, No, Rad Type Crim n|„x. STAT. 12/06/25 18:56:00 PST, Chest Trauma. 12/06/25 18:56:00 PST, Stretcher, 5 Yes, 6251, No, Rad Type C* r\rr\GT Elbow W/0 gig STAT, 12/06/25 21:57:00 PST, Elbow Injury, dislocation, reduced in ED. 12/06/25P 21:57:00 PST, Stretcher, Yes, No, Rad Type STAT, 12/06/25 18:56:00 PST, Trauma, 12/06/25 18:56:00 PST, Stretcher, Yes, W/0 Contrast Contrast CT Chest W/ Contrast Contrast Right CT Head or Brain P'®^®6251, No, Rad Type CT Knee W/0 STAT, 12/06/25 21:56:00 PST. Knee Injury, 12/06/25 21:56:00 PST. Stretcher,1 P ® Yes, No, Rad Type O r\m STAT, 12/06/25 18:56:00 PST. Neck Injury, 12/06/25 18:56:00 PST, Stretcher, 5 Yes, 6251, No, Rad Type CT Spine Lumbar^°[" STAT, 12/06/25 18:56:00 PST, Spinal Injury, 12/06/25 18:56:00 PST. Stretcher, W/ Contrast Yes, 6251. No, Rad Type CT Spine Com STAT, 12/06/25 18:56:00 PST, Other - Populate Reason For Exam (Freetext), Thoracic W/ pletetrauma. 12/06/25 18:56:00 PST, Stretcher. Yes. 6251, No. T spine Contrast d reconstructions, Rad Type Contrast Left CT Spine Cervical W/0 Contrast Report Request ID: 308966244 Page 25 of 104 Printed: 12/18/2025 16:46 CST Desert Regional Medical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Patient. MOROSOFF, SOPHIA Attending Provider AWAD DO.KYRILLOS MRN#: 1326917 Admission Date: 12/7/2025 Account#: 252562913 Discharge Date: 12/11/2025 DOB/Age/Sex: 3/17/2QQ4 / 21 years / Female Lab Medicai Dlrector(s): Joline H. Abrahams. MD Com Emergency/Urgent Care CTA Neck W/ 18:56:00 PST, Other - Populate Reason For Exam (Freetext), Contrast ^ trauma, 12/06/25 18:56:00 PST, Stretcher, Yes, No, Rad Type XR Chest 1 View plete^"^^^' ''^^^^^25 18:56:00 PST, Reason: Other - Populate Reason For Exam ^ (Freetext), Trauma. 12/06/25 18:56:00 PST, Portable. Yes, No. Rad Type O r\rrt XR Elbow 2 nlete®^^^' 12/06/25 19:32:00 PST. Reason: Trauma, 12/06/25 19:32:00 PST, Views Right ^ Stretcher, Yes, No, Rad Type Com XR Foot 2 Views , , STAT, 12/06/25 18:57:00 PST, Reason: Injury, 12/06/25 18:57:00 PST, Stretcher, Right ^ Yes, No, Rad Type XR Forearm 2 STAT, 12/06/25 19:32:00 PST, Reason: Injury, 12/06/25 19:32:00 PST, Stretcher, Views Right ^ Yes. No, Rad Type ^2/06/25 19:32:00 PST, Reason: Trauma, 12/06/25 19:32:00 PST, ^ Stretcher, Yes, No, Rad Type XR Knee 4 View STAT, 12/06/25 18:57:00 PST. Reason: Knee Pain, 12/06/25 18:57:00 PST. Minimum Left ^ Stretcher, Yes, No, Rad Type XR Knee 4 View q. * STAT, 12/06/25 18:57:00 PST. Reason: Knee Pain, 12/06/25 18:57:00 PST, Minimum Right ^ Stretcher, Yes, No, Rad Type XR Pelvis 1 View olete 18:56:00 PST, Reason: Injury, 12/06/25 18:56:00 PST, Stretcher,^ Yes, No, Rad Type O r\m XR Wrist 2 Views STAT, 12/06/25 19:32:00 PST. Reason: Injury, 12/06/25 19:32:00 PST, Stretcher. Right ^ Yes, No, Rad Type Cardiology Orders No cardiology orders were placed. PATIENT EDUCATION INFORMATION Report Request ID: 308966244 Page 26 of 104 Printed; 12/18/2025 16:46 OS* Patient; MRN n\ Account #: DOB/Age/Sex: MOROSOFF, SOPHIA 1326917 252562913 3/17/2004 / 21 years Desert Regional Wledical Center 1150 N. Indian Canyon Palm Springs, OA 92262-4872 Attending Provider Admission Date: Discharge Date: / Female Lab Medical Dlrector{s); AWAD DO.KYRILLOS 12/7/2025 12/11/2025 Joline H. Abrahams, MD Emergency/Urgent Care Instructions: MED LEAFLET INFORMATION Instructions: FOLLOW-UP WITH IMMUNIZATIONS Document Type: Document Subject: Document Date/Time: Document Status: Performed By: Authenticated By: ED Patient Depart Summary ED Patient Depart Summary ED Patient Depart Summary 12/7/2025 02:00 PST Auth (Verified) Rocha RN.Erika (12/7/2025 02:00 PST) Rocha RN.Erika (12/7/2025 02:00 PST) Desert Regional Medical Center 1150N. Indian Canyon Palm Springs, CA 92262-4872 Phone: 7603236251 Patient Education & Visit Summary PERSON INFORMATION Name: MOROSOFF, SOFIA Address: 77305 CALIFORNIA DR PALM DESERT CA 92211-7805 Phone: DOB: 03/17/2004 MRN: 1326917 Acct#: 252562913 Arrival Time: 12/06/2025 18:35:00 ED Discharge Time: 12/07/2025 02:00:47 VISIT INFORMATION Presenting Complaint: MVA Patient Diagnosis: 1 :Blunt trauma; 2:MVC (motor vehicle collision); 3:Right arm pain Primary Care Provider: UNKNOWN , PCP Report Request ID: 308966244 Page 27 of 104 Printed: 12/18/2025 16:46 GST