Donor Abstract

IDENTIFICATION NO.  RR061 ORIGINAL DATE 11/90 UPDATED 12/94

 PHYSICAL AND PERSONAL CHARACTERISTICS
DOB (M/Y) 09/1962 PLACE OF BIRTH Louisiana
HEIGHT 5'6" WEIGHT 150
EYE COLOR Brown COMPLEXION Medium
HAIR Dark Brown, Wavy RIGHT HANDED X LEFT HANDED
RELIGION BORN INTO  Catholocism MARRIED No NO. OF CHILDREN none
YRS OF COLLEGE 6 OCCUPATION Geologist (B.S. Degree), Masters Degree in Computer Science HERITAGE Salvadoran, English
INTERESTS Geology, computers, movies, parties

 TEST RESULTS
Blood Type A Positive HIV, Ab. & Ag.  Nonreactive
Chlamydia Swab Nonreactive HTLV-1 Ab. Nonreactive
Chromosome analysis Normal Male Neisseria gonorrhea No Growth
CMV, IgG Nonreactive SGPT Normal
Cystic Fibrosis Noncarrier of common
                       deletions		 Sickle cell Not Applicable
Group B streptococcus No Growth Syphilis, antibody Nonreactive
HbsAg & HbcAb Nonreactive Tay Sachs Not Applicable
Hepatitis C, Ab Nonreactive

 DONOR AND FAMILY HEALTH HISTORY
MEDICAL PROBLEM DONOR RELATIVE

HEART

None

  Grandmother: high blood pressure and stroke
Grandfather: heart attack

BLOOD

 None  None
RESPIRATORY Asthma None
GASTROINTESTINAL None  None
METABOLIC/ENDOCRINE None  None
URINARY None   None 
GENITAL/REPRODUCTIVE SYSTEM None  None
NEUROLOGICAL None  None
MENTAL HEALTH None  None
MUSCLES/BONES/JOINTS None  None
SIGHT/SOUND/SMELL None  None
SKIN None  None
OTHER None  None

 FAMILY HISTORY
LEVEL OF SCHOOLING: Mother College Father College
OCCUPATION: Mother Homemaker Father Farmer
 
  AGE IF LIVING AGE AT DEATH CAUSE OF DEATH
MOTHER  55  
FATHER  55
MATERNAL GRANDFATHER     Unknown  Airplane Crash
MATERNAL GRANDMOTHER   Late 60's Stroke
PATERNAL GRANDFATHER    65  Heart Attack
PATERNAL GRANDMOTHER Late 80's    
BROTHERS 32    
SISTERS      

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