Donor Abstract
| IDENTIFICATION NO. RR317 | DATE 07/00 | ||||
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PHYSICAL AND PERSONAL CHARACTERISTICS |
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| DOB (M/Y) 08/1976 | PLACE OF BIRTH Puerto Rico | ||||
| HEIGHT 5'10" | WEIGHT 150 | ||||
| EYE COLOR Brown | COMPLEXION Medium-Olive | ||||
| HAIR Dark Brown, Curly | RIGHT HANDED X | LEFT HANDED | |||
| RELIGION
BORN INTO Roman Catholic |
MARRIED No | NO. OF CHILDREN none | |||
| YRS OF COLLEGE 7 | OCCUPATION Lawyer | HERITAGE European and African-Hispanic Mixed Race | |||
| INTERESTS soccer and other sports | |||||
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TEST RESULTS |
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| Blood Type O 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, IgM/Culture Nonreactive/No Growth | SGPT Normal | ||||
| Cystic Fibrosis Negative for 33 mutations | Sickle cell Normal Adult Hemoglobin | ||||
| Group B streptococcus Negative | 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 |
Grandparent:
high blood pressure 2 Grandparents: heart attack |
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BLOOD |
None | None | |||
| RESPIRATORY | None | Sibling: asthma | |||
| GASTROINTESTINAL | None | None | |||
| METABOLIC/ENDOCRINE | None | None | |||
| URINARY | None | None | |||
| GENITAL/REPRODUCTIVE SYSTEM | None | Mother: ovarian cysts | |||
| NEUROLOGICAL | None | Grandparent:
Alzheimer's Mother: migraines |
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| MENTAL HEALTH | None | None | |||
| MUSCLES/BONES/JOINTS | None | Grandparent: arthritis | |||
| SIGHT/SOUND/SMELL | None | None | |||
| SKIN | None | None | |||
| OTHER | None | Father: Cancer at age 49, Non-Hodgkin's Lymphoma | |||
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FAMILY HISTORY |
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| LEVEL OF SCHOOLING: | Mother B.A. Degree | Father Medical Doctorate | |||
| OCCUPATION: | Mother
Small Insurance Business |
Father Physician | |||
| AGE IF LIVING | AGE AT DEATH | CAUSE OF DEATH | |||
| MOTHER | 47 | ||||
| FATHER | 50 | ||||
| MATERNAL GRANDFATHER | 75 | Pancreatic cancer | |||
| MATERNAL GRANDMOTHER | 70 | ||||
| PATERNAL GRANDFATHER | 73 | Heart attack | |||
| PATERNAL GRANDMOTHER | 77 | Heart attack | |||
| BROTHERS | 19 | ||||
| SISTERS | |||||