Donor Abstract

IDENTIFICATION NO. RR239 ORIGINAL DATE 2/94 UPDATED 10/99

 PHYSICAL AND PERSONAL CHARACTERISTICS
DOB (M/Y) 03/1973 PLACE OF BIRTH  South Carolina
HEIGHT 5'10" WEIGHT 170
EYE COLOR Blue COMPLEXION Fair-Medium
HAIR Red, Straight RIGHT HANDED  LEFT HANDED X
RELIGION BORN INTO Baptist MARRIED No NO. OF CHILDREN none
YRS OF COLLEGE 4 OCCUPATION Business degree HERITAGE French, English
INTERESTS racquetball, socializing, travel

 TEST RESULTS
Blood Type B Negative HIV 1/2 Ab. & HIV 1 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 Thalassemia Normal Adult Hemoglobin
Trichomonas & yeast None Seen  

 DONOR AND FAMILY HEALTH HISTORY
MEDICAL PROBLEM DONOR RELATIVE

HEART

None

 Grandparent: hardening of arteries, stroke
Uncle: heart disease

BLOOD

 None  None
RESPIRATORY None  None
GASTROINTESTINAL None  Mother and Maternal grandparent: ulcers
METABOLIC/ENDOCRINE None  None
URINARY None   None 
GENITAL/REPRODUCTIVE SYSTEM None  None
NEUROLOGICAL None  None
MENTAL HEALTH None  Mother: mild depression (no meds needed)
MUSCLES/BONES/JOINTS None  Aunt: Lupus Erythrematosis
SIGHT/SOUND/SMELL None  None
SKIN Acne as a teenager  None
OTHER None  None

 FAMILY HISTORY
LEVEL OF SCHOOLING: Mother Art School Father Technical School
OCCUPATION: Mother Homemaker Father Research
           Technician
 
  AGE IF LIVING AGE AT DEATH CAUSE OF DEATH
MOTHER 40 
FATHER 39
MATERNAL GRANDFATHER     50's Heart Attack
MATERNAL GRANDMOTHER 67 
PATERNAL GRANDFATHER 71
PATERNAL GRANDMOTHER 69    
BROTHERS      
SISTERS  5    

   Return