64
Nw.
AGE, SEX
Lo
36
i
41
51
W
4S
39
F
16
8
M
PAST
HISTORY
_
WEISHT
POUNDS
INJURIFS
Deformity rt.
-_-
Scar, left
120
forefinger
inguinal region
Asthma
Residual rt.
hemeplegia,
heart. block
1-2 toe rt.
129
foot missing
120/80
220/66
Arteriosclerosic
heart disease.
aortic stenosis
insufficiency
broaycardia
Cervical
laceration
endoc.
Bilateral
cata-~-
ractSe4+ retinal
1&2
119/80
Episode abd.pain?
oh
112/60
Pain rt. shoulder
107
104/72
2+ ret. arteriosclerosis
134
114/70
Bilateral cata-
F
abortions
50
51
4M
valcus
Sl
32
F
Mittelschmerz
52
63
F
55
82
M
56
78
F
57
107
elavical area
Bilateral hallux
abese
obese
2 mo. preg.
racts light perception only
140/70
aortic insufficiency
Subcutaneous
masses both
hips
130/70
Gynecomastia
arteriosclerosis
96/66
22
F
104/66
Tachycardia
156
4g
scar rt. Su. o-
ASDOVEN
OU OR GYN
EENT
104/68
99 1/2
.
3 previous
BLOCD PRESSURF
HEART AND LUN7S
Bilateral cataracts
Moderate
gynecomastia