64

NO,

PAST

AGE, SEX
40

36

&¥

hl

51

M

HISTORY

INJURIFS

WEIGHT

Deformity rt.

---

Sear, left
inguinal region

120

forefinger

BLOCD PRESSURF

POUNDS

HEAT AND LUNGS

EENT

ARRDOMEN

GU OR GYN

1Oy/6e

r

10h,/66
Tachycardia

.
©
t

Asthma

99 1/2

45

39

F

Lh6

&

M

Residual rt.
hemeviegia,

1-2 toe rt.
foot missing

4g

22

F

3 previous
abortions

scar rt. supraclavical area

50

51

MW

valeus

51

32

F

Mittelschmerz

52

63

F

55

82

MW

56

78

F

57

107

120/80

Cervical

laceration

endoc.

heart. block

Bilateral hallux

129

220/66
Arteriosclerosic
neart diseases
aortic stenosis
insufficiency
oroaycardia

156
obese

Bilateral cataractSe4+ retinal

arteriosclerosis

96/66

2 mo. preg.,
‘

1%2

116/80

Episode abd.pain?

9k

11%/60

Pain rt. shoulder

107

104/72

2+ ret. arteriosclerosis

134

114/70

Bilateral cataracts light perception only

obese

140/70
aortic insufficiency

F

Subcutaneous

masses both
hips

BEST AVAILABLE COPY
e

130/70

Gynecomast:

Bilateral cataracts

Moderate
gynecomastiz

Select target paragraph3