Donor Abstract 

IDENTIFICATION NO. RR329 DATE 12/01

 PHYSICAL AND PERSONAL CHARACTERISTICS
DOB (M/Y) 07/1977 PLACE OF BIRTH  Louisiana
HEIGHT 5'11" WEIGHT 160
EYE COLOR  Green COMPLEXION Fair
HAIR Strawberry blonde RIGHT HANDED   LEFT HANDED  X
RELIGION BORN INTO Protestant MARRIED No NO. OF CHILDREN none
YRS OF COLLEGE 4 OCCUPATION Computer Systems Student HERITAGE English, Dutch, Irish
INTERESTS movies

 TEST RESULTS
Blood Type A Positive HIV 1/2 Ab. & HIV 1 Ag.  Nonreactive
Chlamydia Negative by PCR HTLV-1,2 Ab. Nonreactive
Chromosome analysis 46XY, normal male karyotype Neisseria gonorrhea None Isolated
CMV, IgG Nonreactive SGPT Normal
Cystic Fibrosis Noncarrier of the common 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 Negative  

 DONOR AND FAMILY HEALTH HISTORY
MEDICAL PROBLEM DONOR RELATIVE

HEART

None

 Maternal grandfather - stroke in 70's

BLOOD

 None  None
RESPIRATORY None sibling - pneumonia
GASTROINTESTINAL None None
METABOLIC/ENDOCRINE None None
URINARY None sibling - bladder infection
GENITAL/REPRODUCTIVE SYSTEM None  None
NEUROLOGICAL None None
MENTAL HEALTH None  None
MUSCLES/BONES/JOINTS None None
SIGHT/SOUND/SMELL None None
SKIN eczema as a child None
OTHER None None

 FAMILY HISTORY
LEVEL OF SCHOOLING: Mother High school Father MBA
OCCUPATION: Mother Homemaker Father Marketing
 
  AGE IF LIVING AGE AT DEATH CAUSE OF DEATH
MOTHER 46
FATHER 55
MATERNAL GRANDFATHER 76  
MATERNAL GRANDMOTHER 74
PATERNAL GRANDFATHER 89
PATERNAL GRANDMOTHER 86 Old age
BROTHERS 20    
SISTERS 20, 25    

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