Donor Abstract
| IDENTIFICATION NO. RR363 | DATE 04/2004 | ||||
PHYSICAL AND PERSONAL CHARACTERISTICS |
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| DOB (M/Y) 10/1979 | PLACE OF BIRTH India | ||||
| HEIGHT 6'2" | WEIGHT 170 | ||||
| EYE COLOR Brown | COMPLEXION Fair-Medium, Asian | ||||
| HAIR Black, Wavy | RIGHT HANDED X | LEFT HANDED | |||
| RELIGION BORN INTO Hindu | MARRIED No | NO. OF CHILDREN none | |||
| YRS OF COLLEGE 5 | OCCUPATION Engineering | HERITAGE Indian | |||
| INTERESTS sports and movies | |||||
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TEST RESULTS |
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| Blood Type A Positive | HIV 1/2 Ab. & HIV 1 Ag. Nonreactive | ||||
| Chlamydia Negative | HTLV-1 Ab Nonreactive | ||||
| Chromosome analysis Normal male 46XY | Neisseria gonorrhea Negative | ||||
| Cystic Fibrosis Non carrier for 51 common mutations | SGPT Within normal limits | ||||
| CMV, IgM Nonreactive | Sickle cell Not applicable | ||||
| CMV culture No growth | Syphilis, antibody Nonreactive | ||||
| HbsAg & HbcAb Nonreactive | Tay Sachs Not applicable | ||||
| Hepatitis C, Ab Nonreactive | Thalassemia Normal adult hemoglobin | ||||
| Trichomonas & yeast None seen | HIV-1/HCV RNA Nonreactive | ||||
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DONOR AND FAMILY HEALTH HISTORY |
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| MEDICAL PROBLEM | DONOR | RELATIVE | |||
| HEART |
None |
Paternal grandfather: high blood pressure and heart attack | |||
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 | None | None | |||
| OTHER | None | None | |||
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FAMILY HISTORY |
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| LEVEL OF SCHOOLING: | Mother High School | Father BS | |||
| OCCUPATION: | Mother Homemaker | Father Accountant | |||
| AGE IF LIVING | AGE AT DEATH | CAUSE OF DEATH | |||
| MOTHER | 43 | ||||
| FATHER | 52 | ||||
| MATERNAL GRANDFATHER | 30's | Car accident | |||
| MATERNAL GRANDMOTHER | 30's | Car accident | |||
| PATERNAL GRANDFATHER | 73 | Heart Attack | |||
| PATERNAL GRANDMOTHER | 65 | Unknown | |||
| BROTHERS | 22 | ||||
| SISTERS | |||||