Donor Abstract
| IDENTIFICATION NO RR 295 | DATE 01/2000 | ||||
PHYSICAL AND PERSONAL CHARACTERISTICS |
|||||
| DOB (M/Y) 07/71 | PLACE OF BIRTH Massachusetts | ||||
| HEIGHT 5'10" | WEIGHT 160 | ||||
| EYE COLOR Blue | COMPLEXION Fair | ||||
| HAIR Light Brown, Straight | RIGHT HANDED | LEFT HANDED X | |||
| RELIGION BORN INTO Protestant | MARRIED No | NO. OF CHILDREN 1 | |||
| YRS OF COLLEGE 4 | OCCUPATION Mechanical Engineer | HERITAGE German, Irish, British | |||
| INTERESTS sports, academics | |||||
|
TEST RESULTS |
|||||
| Blood Type A Positive | HIV 1/2 Ab. & HIV 1 Ag. Nonreactive | ||||
| Chlamydia Negative by PCR | HTLV-1 Ab. Nonreactive | ||||
| Chromosome analysis Normal Male 46XY | Neisseria gonorrhea None isolated | ||||
| CMV, IgG Nonreactive | SGPT Within Normal Limits | ||||
| Cystic Fibrosis Negative for 33 mutations | Sickle cell Not Applicable | ||||
| Group B streptococcus Negative | Syphilis, antibody Nonreactive | ||||
| HbsAg & HbcAb Nonreactive | Tay Sachs Not Applicable | ||||
| Hepatitis C, Ab Nonreactive | Thalassemia Normal Adult Hemoglobin | ||||
| Trichomonas & yeast None present | |||||
|
DONOR AND FAMILY HEALTH HISTORY |
|||||
| MEDICAL PROBLEM | DONOR | RELATIVE | |||
| HEART |
None |
Grandparent -- high blood pressure, stroke in 70's | |||
BLOOD |
None | None | |||
| RESPIRATORY | None | None | |||
| GASTROINTESTINAL | None | None | |||
| METABOLIC/ENDOCRINE | None | None | |||
| URINARY | None | None | |||
| GENITAL/REPRODUCTIVE SYSTEM | None | None | |||
| NEUROLOGICAL | None | Grandparent -- early signs of Alzheimers in 70's; Mother -- migraines started in 40's | |||
| 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 Associates Degree | Father High School | |||
| OCCUPATION: | Mother Educator | Father Sales | |||
| AGE IF LIVING | AGE AT DEATH | CAUSE OF DEATH | |||
| MOTHER | 54 | ||||
| FATHER | 56 | ||||
| MATERNAL GRANDFATHER | mid-late 70's | ||||
| MATERNAL GRANDMOTHER | mid-late 70's | ||||
| PATERNAL GRANDFATHER | mid-late 70's | ||||
| PATERNAL GRANDMOTHER | mid-late 70's | ||||
| BROTHERS | 34 | ||||
| SISTERS | 32, 28 | ||||