100

APPENDIX 8

WO.,
AGE,

WRIGHT

PAST

SEE

AISTORY

troee
INJURIES

CENTIMETERS

HLOOD PRESSURE
HEART

&

|

ABDOMEN

LUNGS

Furr

Gu oF Gyn

SEIN

A
2

URT

uM

5-1/4
133.2

Perianal iepic-

92/60
Gr II systolic a
62; no m '64

mentation;
scars and
depiguentation
om neciz
Depiguented

3

URI

11M

5

iM
6
11M

t Blood in

113.6

Recent cut on 1.

61-1/4

big toe; pneumonia 'S4; inf.

lT
13 F

WwW
15 M

20
17M

21
13 F

23

13%

32

14 Mt

127.9

URI

75.2

Neg.

nog'

86/48

Gr. I systolic a

112/80

|

Systolic a '63;

Moles on face

119-1/2
156.1

jGr I systolic a
at mitral ares

Epigastric pein;
nocturia; nag
‘6h.

Wuf/h
115.8

80/60
Gr I syetolic m

|

Trach. scar

Beth testea iown
liver edge palp.

Neg.

Epigastric pain

'60; scars on
head & arm from
known childhood

nom'

Beadaches;

ah
149.4

117-3/4

159.4

Baraches; URI's;
sores in south
16h

S7-1/%
145.3

abd. pain ('58);

mild ORT ‘64

Chest and abd.

pain '58; 20
complaints '64

acars

opment

Neg.

2.9 cm nodule in
left lobe of
thyroid; tongue
papillae pigmen~

122/72
Gr I systolic a

sacar 2-1/2x0.5
cm on scalp;keloid on arm; brown

140/92 RA

Corneal, piamentap

Recheck 124/82
Gr I systolic a

lid rt. ('56);
neg. ‘5h

pig. spots
neck

1.5x2.5 om firu
movable nodule in
1. lobe of thyroid; no cerry.

Plamented 7
back sf nec

{138/90 LA

96/60

9T-1/h

106/48
Gr I eystolic a

TL.O
1%.9

96/70
Gr I systolic ms

147.4

URI; abd. pain;
"5h

138.5

Colds; constipa-

63=3/4

BEST AVAILABLE Copy

Neg.

Pig. patch <a:

tion; FB in eye-

neck; biops:

ocdes

13 F

tion, eearsches

Depignented
area l. antecubital fossa

Mole upper lip;

81-1/4
147.1

Area of tet
on shaft cf

"62; no mw ‘6h

penis

Pig. nevis 3.-

om on chest;
depig. lesicn:

Testes iown

Tonsils 2+

on skin

|Scars on Legs.
small l.¢ <2
nevus on necspale in co..r

116/84
No a

64

no complaints

more like 4 2:.

mented,Aevus

spots on teeth

mealens & worms;
neg. ‘6h

Pain in rt. mee;
cough; swelling
of feet (159);

43 breast devel- (rientesise 1

Ll2/8

injurtes

bronchitis;

tadgh ; mollusc.

old impetigo

ted

ha

14 x

102/58

Syetolic m= '54;

139.7

i2 F

hb

areas axillae <
perianal areas;
pig. srea beni1. ear

Myopia

Cafe au lait s:

Oee. cough; pein
l.imee & elbow
('63); worms '61;
no complaints

- 33

112/80

hepatitis date ?

iz F

7 F

51.0

stools ‘64

a

15

58.2
114.2

|

68

No a

102/60

g0/50('S9}

130. 3('6Lpsystolic a '59
ail

Impetigo scar

Scarred rt.

IM

leg and asca

warts

Draining rt.

ear '54

L

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