Donor Abstract
| IDENTIFICATION NO. RR281 | DATE 06/18/97 | ||||
PHYSICAL AND PERSONAL CHARACTERISTICS |
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| DOB (M/Y) 2/71 | PLACE OF BIRTH New York | ||||
| HEIGHT 5'6" | WEIGHT 165 | ||||
| EYE COLOR Brown | COMPLEXION Medium | ||||
| HAIR dark brown, curly | RIGHT HANDED X | LEFT HANDED | |||
| RELIGION BORN INTO Judaism | MARRIED No | NO. OF CHILDREN none | |||
| YRS. OF COLLEGE 7 | OCCUPATION Lawyer | HERITAGE
Latvian and
Eastern European |
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| INTERESTS reading, athletics | |||||
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TEST RESULTS |
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| Blood Type AB Positive | HIV 1/2 Ab. & HIV 1 Ag. Nonreactive | ||||
| Chlamydia Swab and Urine Nonreactive | HTLV-1 Ab. Nonreactive | ||||
| Chromosome analysis Normal Male | Neisseria gonorrhea No Growth | ||||
| CMV, IgG Nonreactive | SGPT Within Normal Limits | ||||
| Cystic
Fibrosis Noncarrier of common deletions found in Ashkenazic populations |
Sickle cell Not Applicable | ||||
| Group B streptococcus No Growth | Syphilis, antibody Nonreactive | ||||
| HbsAg & HbcAb Nonreactive | Tay Sachs
& Canavan Noncarrier of deletions common in Ashkenazic populations |
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| Hepatitis C, Ab Nonreactive | Thalassemia Normal Adult Hemoglobin | ||||
| Trichomonas & yeast None Seen | |||||
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DONOR AND FAMILY HEALTH HISTORY |
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| MEDICAL PROBLEM | DONOR | RELATIVE | |||
| HEART |
None |
Elderly Grandmother: heart attack | |||
BLOOD |
None | None | |||
| RESPIRATORY | None | None | |||
| GASTROINTESTINAL | None | None | |||
| METABOLIC/ENDOCRINE | None | Uncle: diabetic | |||
| URINARY | None | None | |||
| GENITAL/REPRODUCTIVE SYSTEM | None | None | |||
| NEUROLOGICAL | None | Father:
Brain tumor Sibling: migraines |
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| MENTAL HEALTH | None | None | |||
| MUSCLES/BONES/JOINTS | None | Mother:
osteoporosis |
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| SIGHT/SOUND/SMELL | None | None | |||
| SKIN | None | None | |||
| OTHER | None | None | |||
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FAMILY HISTORY |
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| LEVEL OF SCHOOLING: | Mother M.S. degree | Father M.D. | |||
| OCCUPATION: | Mother Librarian | Father Surgeon | |||
| AGE IF LIVING | AGE AT DEATH | CAUSE OF DEATH | |||
| MOTHER | 69 | ||||
| FATHER | 62 | Brain tumor | |||
| MATERNAL GRANDFATHER | 73 | Pneumonia | |||
| MATERNAL GRANDMOTHER | 85 | Old age | |||
| PATERNAL GRANDFATHER | 75 | Unknown | |||
| PATERNAL GRANDMOTHER | 80's | Heart problems | |||
| BROTHERS | 48,41 | ||||
| SISTERS | 39,37,28 | ||||