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