80
WEIGHT
NO.,
AGE,
PAST
SEK
29
HISTORY
etewe
INJURIES
CENTIMETERS}
BLOOD PRESSURE
HEART
&
ABDOMEN
LUNGS
EENT
110
75 2 M
Blind in left
eye. Right eye
air
fair.
110/64
Pulse 8, reg.
34
Menopause -hys-
126
106/70
1e5 '62
110/60 '62
134
115/60
146
120/70
Arcus 1+.
90/60 '62
Corneal scar
left eye '63.
terectany "hg,
Para. 14, grav.
10.Pain in legs.
55 F
Gu or Gyn
Rt
hyper“mature
Lett aphakia.
;
‘
.
Prostate 2+,
firm left lobe '
Arcus 4+, Left
|Mid-line surg.
pterygium. Rt.
|scar. Erosion
pingueculae.
of cervix.
1+ retinal ecler+
osis.
SKIN
Numerous nevi
on shoulders ‘
Pigmented moles
back and neck.
35
23M
36
.
18 M
37
30 M
39
-
109 "62
25 F
ho
Fistula in ano
Traumatic deform-
gically '6h).
Low back pain.
finger.
(corrected sur-
39 M
42
Lump right arn.
54M
ity right index
Throat alight
Tinea, circinata
inflammaticn.
pack, abd.,
legs and arms.
Bilat.pingueculae.
S51.
roughening
and pig. back of
neck, Pig. var.
and sl.hyperpig.
dorsum right
foot,
125
115 '63
110/70
116
110/70
68
130/72
Arcus 2+.
Pingueculae and
exophoria.
Fistula in ano
|with perirectal
absceas '63.
Leukoplakia '63.
Dermatitis
right hand.
Arcus 3+.2+ ret?
inal arteriosclerosis. Circump+
papillary ring of
choroid degeneraP
tion.
Menopause: time
43
unknown. Para.
h, ? grav. 4,
76 F
45
Menarche age 13.
42 F
11, grav. 9. Low
LMP 3/7/64. Para.
18 M
Menarche age 13.
IMP 2/5/64, Para.
6, grav. 3. Pain
hg
25 F
4h M
51
Menarche age 17.
35 F
Para. 2, grav. 0.
LMP 3/7/64.
55
Backpain, Blindness, partial.
85 M
cataracts
Throat slight
Arcus 2+. Left
117
120/70
135
110/70
Throat slight
inflammation.
166
137 '63
96/64
Rt. paramedian
Throat inflamed.| scar. Severe lat] Pig. macs.
cervical tears,
both aides of
in Joints, obese,
URI.
50
Bilet. pterygium
Bilat.
inflammation.
back pain.
AT
c
Grade I sys. m.
pingueculae.
Right pterygiun.
1x3 cm. cervical|
erosion.
185
120/70
99
90/60
Arcus 3+. Scar
mf.
3
rt. arm (not
"beta burns"),
Healed cervical
tear. Bartholin
100/65
Pulse 86, reg.
4+ arcus. Blind,
partial. Throat
inflamed. Node
left neck.
Cataract OD) _.¢4
Aphakia 0D}
5 0 L bey
Sears on upper
nose septum.
cyst left labia.
134 61
neck, ACF.
Prostate 1+.
Mole on
abdomen.