1i2

m0.,
at, SEE

870
8M

ark
17M

Sty

oF

WEIGHT

PAST

wieer

HISTORY

TN JOR IES

Polio

4603/4

Substernal pain
'§$9; woras

Oce. diarrhes;

sore on 1, foot

387

16 F

a2
19 M

Oece, abd. pain;

Whaa/h

86/60
Gr T apical

syan

151.9

Polio; URI

and cough 'Sk

SK

Hegled skis
Leaton

Marked warts
on l. foot;

Liver 1 cm down

impetigo scar

Hemangicms near

110/70

disc = aot

ch, impetigo

thought to be

"59

Sturge Weber

100/68

No a

92/50

161.3

lo

TF

TF

54.0

Gu or Gyn

Scars

118/60
Bul. sys 2 '53

126.3

AADOMEN
EENT

92/66

119
168.3

pooh

no sig. hx. ‘6k

LUNGS

Gr I sys a

Pain in joints;

neg. "64

&

120.9

169 ‘62

900

301

BLOOD PRESSURE
HEART

16

iS
891

CENTIMETERS

a2

80/48

110.7

Caries; cer.
ncdes '62

Sores on legs
impetigo ‘59

Canals OK

MoLluscum co

back

!|

02
5?
903
6F

904
6M

No sig. hx. "6h
.

Polio} foreign

bedy ear; (dear
1. ear '63);

poor

Gr I sys m with
loud vencus sum

38-1/h

lor I sya m '62;

LOT, &

only ‘6%

5M

906
oF

worms '61; occ.

eet

76/40

Gr I apical sys

m with change ¢

left ™ sl.
retracted

Impetigo |
on elbow

Both TM's are

|

thick and prod-

|

ably heve fluid

|

benind them;

\

tonsils l+

Weel/2
113.2

No sig. hx. ‘6h

Anorexia

35

"She vate,

,

Molluscun

'

.

Tace

chest-no 2

‘64

Ulcers ieg;

quality

leg ‘57

m with ouaical

Ye-l/2
LOT. &

[no murmurs
audible -

16.14

Broken wrist ‘593

88/60
Gr I apical sys

106.1

78.0

no sig. nx.

re2

in chest; clear

audible '64

ls F

nF

clay

¢ ele 6
Abd. pain ‘63;

309

gu

under rt.

position

pein

905

78/50

wooedfh
110.2

TT

135.0

nevus Lert

76/40
Sys m Gr L '62;

Liver edge at
costal margin

split P, ‘6k

110/70

No a

112/40
Gr ID sys ms at

apex '63;. gr I
systolic a at
apex ‘54

|
|

|
|

Tnfected throat

Vitiiieec or

persisting
‘ines

Select target paragraph3