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Page 10 text:
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TOP IMPRINT MARGIN M6403200 INDIANA UNIVERSITY HOSPITALS HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Class of 1974, cont. Psychiatric: Mood Lightly elevated. Increased emotional drives. Excessive tue of lengthy medical words. SI. preoccupation u)ttk something (he, keeps mumbling the word graduation when not being stimulated). Illusion of future grandeur hinted at but not delved into at this couching. Period of possible poor judgement 4 1 2 ur ago. Little insight into present problem but pt. feels a cure is in the offing. Admitting Laboratory Data: Blood: Wgb-14. HcZ7 42. (0BC-7,210 Idif. WML) Creat.-1.1 BUM-9. Ma-135 Cl-100 K-4.5 HC03-25 C02-23 Ca-9 P-2 bili-1.1 C S x 3- neg. Low serum litre to Registered letteritis. Urine: U A- WNL CCMS for C S- neg. Kray: Chest PA 6 L. lot.- read as WML with no cardiomegaly. UGJ- si. gastric mucosal changes consistent with but not diagnostic of chronic paroxysms of gastric irritation, probably x 4-5 yr. EKG: tachycardia with regular rhythm and non-specific ST-T wave changes; not consistent with myocardial pathology. EEG: area of focal external attack with regions of hyper-memory overload 6 memory wasting. Thyroid Scan: normal uptake with no areas of focal defect. Able to look through everything except a good looking girls dress and reducing everything to black and white (negative- ly speaking) were Heun Yune, Eugene Klatte (chairman), Edmund Franken and John Smith. Delving into the rigormortized inner sanctum and blazing a path through medicine were Amos Michael, William Wahle, James Benz, Joshua Edwards (chairman), and J. Donald Hubbard. USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE)
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Page 9 text:
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TOP IMPRINT MARGIN M6403200 INDIANA UNIVERSITY HOSPITALS Class of 1974, cont. HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Your order shall commence with the formation of the child in the womb, saying which part of it is formed first and so on in succession, placing its parts according to the times of preg- nancy until the birth. . . Leonardo da Vinci Note.: o -centeA, no j$x. Mouth: co hee bunnA, WML. ThAoat: cleaA TfA done,. Neck: mldllne tAach., hypeAtnophled do ha at muAculatuAe, no nodeA. CheAt: MBS bltat., clean.. CaAdlovaAculaA: Al. tacky, with Aeg. Ahv- thm; no M, S, on G; no thnlllA oa H tA. PulAeA good, egual, no bAultA noted. SI. vanlcoAltleA with no pedal edema. Abdomen: WML except foA mldeplgaAtAlc tendenneAA to palp. GenltouAlnaAy: ext. genii. U’NL. Pelvic: Apecula too cold. Rectal: up hl , WNL. Back ExtAemltleA: bltat deltoid 6 doAA. ceAv. m. enlaAg ement; chAonlc A hoe leatheA weaning. NeuAological: gAoAA- ly Intact motoA 6 AenAOAy function with no deilcltA. Skin: cleaA with no dlAcoloAatlon oa leAlonA. USE ONE SIDE ONLY A complex maze of pathways proved easier to traverse following exposure to Robert Campbell (chrmn, neurosurg.), William DeMeyer, Alexander Ross, Mark L. Dyken (chrmn. ), Omkar Mark and G Charles Spurgeon. HISTORY-PHYSICAL-PROGRESS-OTHER An ectopic presenta- tion of Charles A. Hunter, Jr. (chrmn. ). Hackney for acne, Norins for corns . In their own words, these physicians are fore skin , Arthur L. Norins, Victor C. Hackney (chairman) and Warren W. Epinet- te. In teaching the medical student the primary requisite is to keep him awake. Chevalier Jackson Only two of the many who helped teach the art of fe- male speculation, Joseph Thompson G Arthur Baptisti (deceased). Helping teach an understanding of the patient's as well as the physician's mind were Richard French, Jr., Nancy Roeske, John Nurnberger (chrmn.) G James Simmons. Make no bones with these two physicians unless you want them total hip-erized or suspended in Buck's trac- tion, Merrill A. Ritter G Guy P. DeRosa. (James B. Wray (chrmn. ) deceased)
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Page 11 text:
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TOP IMPRINT MARGIN M6403200 INDIANA UNIVERSITY HOSPITALS HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Class of 1974, cont. Impression: a . A tatus post Registered letteritis . b. Minites titis x 2, by iix. c. chronic pA.ogtieAA4.ve. pain in post. L. hip 2°- to deflation walleti following several acute financial dis charg eA. d. flea-bitis’ by hx. e. levator palpebrae hypertrophy with claudication bilat. 2° to chronic occular exploitation of the mitten wo ad. f. chronic cervical myalgia 2° to otic lectural stimulation. g. ”Sophomoritis , by hx. h. naA2A disproportia 2° to Jailing textA qHS. i. SOB with ”digiti cAampuA” 2 to f-sequent adminiAtAation of H 6 P's. j. chAonic EtOH intoxication x 4 y i. [at leaAt) but insufficient to pAomote a diuresis of the present illness. k. multiple cAanial academic attacks. l. general fatigue 2° to ” junior-yearitis and uncompensated Aelative hypothyAoidiAm. m. GAam negative Scut injection x 11 mon., by hx. n. mild vaAicoAities 2° to operation longuAn and Atanding waAd AounduA”. o. chAonic gaAtAoenteAitiA l° to Botulee botulii IAtAain: hoApitali cafeterium). p. mental waAting 2° to acute, overwhelming boaAditis x 2. q. palpitations and tachycardia of eminent graduation. A. foreseeable acute FLEXion in next month or so. Summary: Tn summary, this pt. haA a case of chAonic medicaloAchoolitis” of four (4) yeaAS duAation brought-on by an immunological deficiency to Registered letteritis. Recommendations : a. banouet and merriment, A tat. b. EtOH, PRN. c. one doAe of Graduation Medicali in approx. IS hrs. d. rest, ad infinitum. e. Aexual enhancement, PRN. RTC 5 yr. for Reunion d' CIoaa therapy. STATEMENT OF HOSPITAL RELEASE - INDIANA UNIl ERSm MEDICAL CENTER ThiA pi. is hereby released to himself and the world with the above recommendations with wishes for the best of luck and future success. i 77. itAM, 9 USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE)
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