Donor Abstract

IDENTIFICATION NO. RR302 DATE 10/1999

 PHYSICAL AND PERSONAL CHARACTERISTICS
DOB (M/Y) 05/1975 PLACE OF BIRTH  New Orleans, Louisiana
HEIGHT 5'10" WEIGHT 145
EYE COLOR  Blue-Green COMPLEXION Medium
HAIR Blonde, Straight RIGHT HANDED  X LEFT HANDED
RELIGION BORN INTO Roman
                                     Catholic		 MARRIED Yes NO. OF CHILDREN none
YRS OF COLLEGE 5 OCCUPATION  Mechanical
Engineering student		 HERITAGE German, French
INTERESTS cycling, music, mechanics

 TEST RESULTS
Blood Type A Negative HIV 1/2 Ab. & HIV 1 Ag.  Nonreactive
Chlamydia Negative by PCR HTLV-1,2 Ab. Nonreactive
Chromosome analysis Normal Male 46XY Neisseria gonorrhea None Isolated
CMV, IgG Nonreactive SGPT Normal
Cystic Fibrosis Negative for 33 mutations Sickle cell Not Applicable
Group B streptococcus No Growth Syphilis, antibody Nonreactive
HbsAg & HbcAb Nonreactive Tay Sachs & Canavan Not Applicable
Hepatitis C, Ab Nonreactive Thalassemia Normal Adult Hemoglobin
Trichomonas & yeast Not Present  

 DONOR AND FAMILY HEALTH HISTORY
MEDICAL PROBLEM DONOR RELATIVE

HEART

None

 Maternal Grandfather: died heart attack (heavy smoker)

BLOOD

 None  None
RESPIRATORY None 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 Acne as teenager None
OTHER None None

 FAMILY HISTORY
LEVEL OF SCHOOLING: Mother M.A. Degree Father High School
OCCUPATION: Mother Hospital
        Administrator		 Father Medical Electronic 
           Repairs
 
  AGE IF LIVING AGE AT DEATH CAUSE OF DEATH
MOTHER 52
FATHER 69
MATERNAL GRANDFATHER   70 Heart Attack
MATERNAL GRANDMOTHER 72
PATERNAL GRANDFATHER   102 Old Age
PATERNAL GRANDMOTHER 88  Old Age
BROTHERS    
SISTERS    

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