Donor Abstract
| IDENTIFICATION NO. RR367 | DATE 02/2006 | ||||
PHYSICAL AND PERSONAL CHARACTERISTICS |
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| DOB (M/Y) 03/1977 | PLACE OF BIRTH Pennsylvania | ||||
| HEIGHT 6'0" | WEIGHT 160 | ||||
| EYE COLOR Brown | COMPLEXION Fair, Olive | ||||
| HAIR Brown, Wavy | RIGHT HANDED | LEFT HANDED X | |||
| RELIGION BORN INTO Judaism | MARRIED No | NO. OF CHILDREN none | |||
| YRS OF COLLEGE 6 | OCCUPATION Lawyer | HERITAGE Russian, French Canadian | |||
| INTERESTS Music, socializing | |||||
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TEST RESULTS |
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| Blood Type O Negative | HIV 1/2 Ab. & HIV 1 Ag. Nonreactive | ||||
| Chlamydia Nonreactive | HTLV-1 Ab Nonreactive | ||||
| Chromosome analysis 46,XY male | Neisseria gonorrhea Nonreactive | ||||
| 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 Noncarrier | ||||
| Hepatitis C, Ab Nonreactive | Thalassemia Normal adult hemoglobin | ||||
| Trichomonas & yeast None seen | HIV-1/HCV NAT Nonreactive | ||||
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DONOR AND FAMILY HEALTH HISTORY |
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| MEDICAL PROBLEM | DONOR | RELATIVE | |||
| HEART |
None |
Maternal grandfather-stroke, Paternal grandfather-heart attack | |||
BLOOD |
None | None | |||
| RESPIRATORY | None | None | |||
| GASTROINTESTINAL | None | Maternal grandmother-colon cancer | |||
| METABOLIC/ENDOCRINE | None | Paternal grandfather-Adult onset diabetes | |||
| URINARY | None | Paternal grandfather-kidney disease | |||
| 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 MA | Father JD | |||
| OCCUPATION: | Mother Teacher | Father Lawyer | |||
| AGE IF LIVING | AGE AT DEATH | CAUSE OF DEATH | |||
| MOTHER | 57 | ||||
| FATHER | 56 | ||||
| MATERNAL GRANDFATHER | 63 | Stroke | |||
| MATERNAL GRANDMOTHER | 78 | Colon cancer | |||
| PATERNAL GRANDFATHER | 77 | Heart attack during surgery | |||
| PATERNAL GRANDMOTHER | 82 | ||||
| BROTHERS | |||||
| SISTERS | 23, 26 | ||||