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Dx:
RUE Amputation (Mid-Humerus), Status Post Torture-Related Injury
PTSD – Subclinical Presentation

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1. Physical Findings
RUE: Severe trauma during captivity; repeated torsional fractures and neurovascular compromise → surgical amputation.
Prosthesis: Myoelectric prosthesis. Fit adequate; risk of detachment with perspiration,prolonged activity, or temperature changes.
Residual Limb: Occasional phantom pain; skin irritation with moisture.

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2. Psychological Findings

Reports “no issues,” but demonstrates:
Hypervigilance with controlled affect
Startle response to loud noise/metal impact
Sleep disturbance with recurring thematic dreams
Avoidance of trauma-related discussion
High self-restrain; emotional suppression
No overt aggression.
Behavioral pattern consistent with PTSD (ICD code F43.1) despite denial.

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3. Functional Assessment
Activities of daily living: Independent
Physical activity: Moderate; prosthesis instability with sweat
Social interaction: Polite, compliant; uses physical contact as self-regulation
Psychological load masked by high restraint

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4. Recommendations
Continue prosthetic follow-up q3–6 months.
Issue moisture-control liners; backup strap recommended.
Initiate psych follow-up via sleep management route (less resistance).
Provide quiet retreat spaces in confined environments.
Avoid sudden approach from rear; reduce acoustic triggers when possible.

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格式我瞎雞巴打得不用太在意（英文也是）