NAPZATIVE SULOMARY DATE OF DiacKanar Refs toy BSMWELA OF DATS HOSPITALIZED whey le safe fe 9 a? LEZ nottreshfls and S22 lymphocytes. Hest of the piccical examination was seid ts kove kot meormal et that tima. Throuchoct this extire period the patient has boon untiscl acraptomatic exrest for nerrousnes? md e fora of ¢cysphacia “n which he hes cares. ak sxtllesing certain foodsPerteculoriy stesxs amc scm tices besourvers Eutiemt deeerfres this es cecaurvine esoccislic Uf he is the k est bit ancuocue uu. Ciffienlty occurs tha food sams to lo’ce in tha lover part of ton ietehoe.n peoderine en exemueisating cain which is relicvad only ty brincine the f.00 U.orer. Tre patient has hed a eeneidcrable exount of domestic difficulty in tho poct ecvrercl years and otherwire his histery is mrenariable. eliims to bo ropmotenstic at this tine. The patient POOL. Ie PPP TINY Reveals aman who 4s prematurely bald but states thet his beldness berm et cere 20. Appears ecicvately nourished. "Ws veishs 119 lbs. andstends 5'9® tall. Flood oS wyTos pulse €0. Entire physical exetinaticon vasa eseentially mmremarkable. cho... cut Liver are not eilargped. Tha only lysmn nedcs thet are palretle are gMwvol gc cllbh shetty nodes in the inruinal r ¢ions cine somewhat larger node in the Df. emilee“TYTreen snd a very small half 1 pee sinc ssdo in the vosterior cervical a eyo ee vod coats eee OTE OU ee RAED TATION TTA VDRL was nonereactives. He-orran revealed 22,700 white blood cells, 70% lymphocytes, 30% neutrophils, Lom civisn eclis were noted. Hamoclobin wat 13 eros, hematocrit 11. Corrected gicritotion rate 19, Urdmalysis revealed no simifiscmt sescmality. The blood ctrl wic repeated on three occasions, white comt varyine between 22;000+27,000 mo. “otbeams a lymphocytosis of approximately 707. Fliatelct comt was 222,000. Urie gtk * 302 Roh ucS. LE prep wes negative. Chest xercy revealed no sipnifirant hos? ite, aria shadow revenied a Schatski Jcfornity of tne laver esophagus Sool Im tabs indieetes a hictes hernia. ET Oe TI CtwTTole Patient wee asymotomatic threnchout his hosritel story. Bone marrow aspiration was carried out and cad eric g ce Tia)ar marrow with normil calluler comommmts. There is no z frou wine evl.ctgs cf 4nfiitretive dicaass or exeessiws i-eturity. An attenpted aiorsy of tre Leech neve which cas felt to be pelnable in the ri ht cervical chain was carried cut ‘et umfortemetely no lymph node was identified in ths curcical soecimen material. Votfomt was eocn dic consultation by the eenaltant in bematolory who felt thet goginenecst. of lenkesda or ane other epeciMe herstolovi-al disaase conl? ret be et Let Feel. AM foo ML EE Tt fo par Coe. Do. ME ed ov_ WLR gcvomtig, Sarre “ . - om ” Te oy ote : moe spade rendre, ef fate. ND OFANIZ ATION re EPISTLE +, PEC BI far Les 7 WARD ONT a RARRATIVE SUMMARY crane eoemsenal wes elite oy OS Rie oli ie CLITICAL RECORD CATE OF woe die i en oe © intimates C) Ber Boe Pg wot Be Berea: os lee Beg awe A. Th einnititech etetierdtetiictatitens Enatant Fone wae