in connection with Ms. Ziba Kazemi to  assist me in presenting my testimony and keeping this case alive until it reaches the desirable  conclusion, which is the condemnation of the suppressive regime of the Islamic Republic.  Therefore, I submit a summary of Ms. Zahra Kazemi's clinical file including her clinical assessment when hospitalized and the medical treatment she received during the seven hours of  her first night of hospitalization. Clinical report The patient is a 54 year old female. C.C : The main complaint is vomiting blood following nose bleed. P.I. : according to those accompanying the patient and the referral sheet from the prison's clinic, patient  vomited following a nose bleed and has had altered level of consciousness for some hours. clinical examination: patient is in a coma and responds only to painful stimulation. head and neck: Ecchymosis  in the right frontal and temporal areas resulting from blow.   left occipital*  inflammation and fluctuating hematoma. The Nose Bone is fractured. Ecchmosis around the nostril bone and Orbital rim. Watery  Bloody discharges from nostril. Evidence of Epistaxis (nose bleed). eyes : pupils in normal state with normal reflex to light. In funduscopic [opthalmoscopic]  examination edema is observed due to rise of cerebral spinal fluid pressure. ears: Ecchymosis in the area of temporal extending to the ear canal, causing the narrowing of the  canal during examination as well as difficulties when examining the tympanum  [eardrum] The  left tympanum is normal but the right tympanum in the upper section is completely  fragmented/crushed. The