Donor Abstract
| IDENTIFICATION NO. RR309 | DATE 10/1999 | ||||
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PHYSICAL AND PERSONAL CHARACTERISTICS |
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| DOB (M/Y) 09/1976 | PLACE OF BIRTH Texas | ||||
| HEIGHT 5'11" | WEIGHT 175 | ||||
| EYE COLOR Hazel | COMPLEXION Medium | ||||
| HAIR Light Brown, Wavy | RIGHT HANDED X | LEFT HANDED | |||
| RELIGION BORN INTO Protestant | MARRIED No | NO. OF CHILDREN none | |||
| YRS OF COLLEGE 7 | OCCUPATION Lawyer | HERITAGE
English,
French, Scottish |
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| INTERESTS music, sports, films | |||||
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TEST RESULTS |
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| 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 | |||||
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DONOR AND FAMILY HEALTH HISTORY |
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| MEDICAL PROBLEM | DONOR | RELATIVE | |||
| HEART |
None |
Father: Congenital Heart Defect corrected by surgery | |||
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BLOOD |
None | None | |||
| RESPIRATORY | None | Father and Brother: Hay Fever | |||
| GASTROINTESTINAL | Hernia at birth | None | |||
| METABOLIC/ENDOCRINE | None | None | |||
| URINARY | None | None | |||
| GENITAL/REPRODUCTIVE SYSTEM | None | None | |||
| NEUROLOGICAL | None | Cousin:
Migraines Grandfather: Parkinson's Disease |
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| MENTAL HEALTH | None | None | |||
| MUSCLES/BONES/JOINTS | None | None | |||
| SIGHT/SOUND/SMELL | None | Cousin: Color Blindness | |||
| SKIN | None | Brother: Mild Acne | |||
| OTHER | None | None | |||
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FAMILY HISTORY |
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| LEVEL OF SCHOOLING: | Mother B.S. Degree | Father 2 Master's Degrees | |||
| OCCUPATION: | Mother Registered Nurse | Father Military Officer | |||
| AGE IF LIVING | AGE AT DEATH | CAUSE OF DEATH | |||
| MOTHER | 50 | ||||
| FATHER | 49 | ||||
| MATERNAL GRANDFATHER | 75 | ||||
| MATERNAL GRANDMOTHER | 75 | ||||
| PATERNAL GRANDFATHER | ~70 | ||||
| PATERNAL GRANDMOTHER | 50 | Cancer | |||
| BROTHERS | 20 | ||||
| SISTERS | |||||