Individual Adult Physical Findings

SLOOD

MISCELLANEOUS,
NEUROLOGICAL, TUMORS, ETC.

COUNTS
WBC

ECT

COMMENTS &

LAB DATA, Urine, Pap.,
PLAT

X-ray, ete.

RECCHOGENDATICNS

PBI 3.4 '63. Chest X-Ray: Cardiac

8,70

4

313

enlarg., sortic artericeclerosis' 63,
|Pep.: Negative for aalignent cells; Bypertensice.
‘marked inflammation with inflammeObesity.
tory atypia.

Deformed upper lobe left
ear. Tumor laft suttock
‘63.

10,200

43

133

|Chest X-Ray nag. ‘63.

Bone marrow taken for general
atudy.

3,100

41

uss

orestatic hypertrophy.
Neck adenopathy.

7,200

47

125

1963 examination.
No 1964 examination.

11,300

46

308

|PBT 12.0 163.

6,300

38

390

Cardiolysin slide *locculation
|teat: reactive, titer 2.

Arrested hues.

6,500

bl

395

[PBI d.8 ‘63

1963 examination.

5,500

30

628

Pap.: Negative for malignant celis;
jinflemmation; some squamous atypia

*

Lipema left shoulder '63.

Romberg +.

Atrophic vagina, 75° kyphosis, right acoliceis. Tumor
left labia 1963.

Reiter protein camlement
fixation test:
reactive.

noted; ? trichomonaa vaginalis
infestation; high estrogenic level
for sage snd menstrual history.

Prominent ulnar styloid

7,200

36

355

Minimal arteriosclerceis,
weak right dorealis pedis
pulse. Hyposetive reflexes.

6,30

46

386

Hypoactive reflexes.

6,900

40

257

Pap.: Negative for mlignant cells;
|marked inflammation with inflewmatory atypia.

T.L

39

208

[Chest X-Ray negative ‘62.

6,000

4e

505

bilat.

Artericeclerceis.
Rec. Kahn test.

Haematology only 1964.

Kyphosccliceis.
Evaluate for
possible ca. of bowel at Majurq

|PBI 8.3 '63. Pap.: Negative for

malignant ceils; inflammation;
endocervical cell atypie.

Artericecierceis.
Prostatic hypertrophy.

Fap.: Negative for malignant

jcells; severe inflammaticn;

marked squamous atypia; well-

1963 examination.
No 1964 examination.
Pregnant 2-3 months '63.

Neck adenopathy.

preserved spermatorca noted.

Severe arteriosclerceis.
Mild kyphosis and right
ecolitosisa.

Prominent rt.

ulnar styloid.

7,000

41

256

8,000

3

563

Fap.: Negative for malignant cells;
|trichamonas vaginalis infestation
with inflammation; mild endocervical cell atypia.

Aged and feeble, artericecieros
kyphoscolioais. Sepatoanegaly.
Rec.

cstaract removal.

*

Select target paragraph3