case_images: PMC11828811_01
case_images: Excerpt 1 of medical record
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case_images: Fig1
case_images: Excerpt 2 of medical record
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case_images: Fig2
case_images: The records indicated that no restraints were used (Fig. 2).
case_images: Excerpt 3 of medical record
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case_images: Fig3
case_images: The nurse was free to portray the patient as an obstinate and demanding trans woman who insisted on urinating in front of staff (Fig. 3).
case_images: Excerpt 4 of medical record
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case_images: Fig4
case_images: The intake records mistakenly describe the patient as a 'born male, transgendered female', although the institutional scans excluded the rear side of the paper originals, leaving out much of the content of the original record (Fig. 4).
case_images: Excerpt 5 of medical record
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case_images: Fig5
case_images: Excerpt 6 of medical record
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case_images: Hospital policies specify that these types of medications are to be ordered within 24 h of arrival (Fig. 6).
case_images: Excerpt 7 of medical record
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case_images: Fig7
case_images: Rather than acknowledging that medications were not provided in a timely fashion, the nurses attributed the reports of illness and requests for medical treatment as evidence of a personality disorder (Fig. 7).
case_images: Excerpt 8 of medical record
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case_images: Excerpt 9 of medical record
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case_images: Fig9
case_images: Because of a history of abusive behavior in their family, Q refused to designate relatives on the hospital's 'release of information' (ROI) form (Fig. 9).
case_images: Excerpt 10 of medical record
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case_images: Fig10
case_images: The designation was cited multiple times as evidence of a mental health disorder in provider notes and within the document certifying the findings for the State (Fig. 10).