Document QMyrD42N938doadp2LpDLm4Yo

September 27, 19^1-9 Dr, Charles S. Whlpps Carlisle, Indiana Dear Doctor Whippss I am enclosing a c o d examination of Mr, he report of our lio findings were elicited suggestive of lead poisoning of any type, nor did the results of the chemical examination of the samples of blood and urine indicate unusual absorption of lead compounds, these being well within the normal range. !!r. Weir requested that I send thi3 report to TOU. Please write to us if we can be of any further assistance. Sincerely yours. KVKsvr Enel. RarT V. IvitSffiiiier, 8-17-igI.Q Fame i MEDICAL RECORD Race Vi/hite Sex Male Age 5^ {I1-I8-99 OH N18650.01 Home Address Carlisle, Indiana Telephone No 36 J. P.O. Box 67 Employed By: Standard Oil Company o.f Indiana IBDTSTKIAL HISTORY Present Occupation {Exact description with dates of this and previous employment at same job.) in charge of bulk operations of St. Oil Company in Carlisle, Ind ank truck deliveries - gasoline, kerosene, power fuel, heater oil {all grades) Red roivn b0% regular - White .Crown U.0% Premium-with Standard Oil Company for yrs. Previous Occupations (Approximate dates and length of employment) Indian Oil" Comnpany - 18 mo. (1922-23) truck driver Stuart and Bavis Oil Company - less than 1 year (1923) truck driver - farm work prior to 1922. Used ''Ethyl meter" for 6 mo. (1923-2lj.) for adding Ethyl Fluid to tank (truck) - wore rubber gloves - avoided inhalation. Lead Hazards (Dates and duration) Painting (including work at home) Plumbing Automobile and Car Body hork Type Casting Smelting Gasoline Treating (Refinery) Storage Battery Lead Burning Use of Discarded Battery Boxes as Fuel ^Hunting. Trap Shooting, Target Practice (Indoor Range) Soldering Enameling Paint Manufacture White Lead Pottery Glass Rubber Garage RefineryFilling Station XBulk Station X Gasoline Truck Automobile Owner Yes Kind of Gasoline Ethyl and reg.Own Repair Work Occasionally Other Industrial Hazards not In past years (1943) Fills and delivers truck orders 1,000 to 6000 gallons of gasoline weekly In addition to bulk handling also fills auto tanks and truck tanks and cars - hands .-nore or less constantly wet with gasoline (canvas gloves) - loading and operating valves - fumes from supply line in loading and unloading gasoline, (over PAST MEDICAL HISTORY Childhood Diseases: Rubeola x Mumps X Rubella X Scarlet Fever Chorea Variola Varicella X Pertussis ? Acute Infectious Diseases-; Rheumatic Fever Pneumonia Pleurisy Arthritis Malaria Influenza X Tonsillitis Tuberculosis Syphilis Gonorrhea Poliomyelitis Other Diseases: Hone - Appendicitis - appendectomy (October 19^8) Bilaterial hernia 1931 Allergy? Rone / Injuries, Accidents, Operations* / REVIEW 0F~SYSTEMS FaIrly~ood State of Health / Wt. Best 192Usual ISO Present 177 Recent Gain 10 lb. Loss si. past Eyes; Vision - Normal Failing Bifocals (2 years) Diplopia O Inflammatory Disease o Cataract o o me Ears* Hearing - Normal Loss Earache O Discharge O Tinnitus O Nose* Smell - Formal Colds Loss or Perversion O Sinus Disease Discharge o Epistaxis Occas. Obstruction o Mouth 5 Soreness o Ulcers Salivation slight Dysphagia o Taste :Normal Unpleasant Loss Metallic o Tongue Sore Burning Sensation si. with dry feeling Testhr Devitalization O Pain Caries o Bridgework o _Gi'irs.-. Bleeding_ o Recession o Throat ant* Pharynx* Angina O TonsillitisO Hoarseness O DysphoniaO Aphonia O Rot remarkable CARPI0-RES'PiRs t o r y riot remarkable Ccv-.Ft Sputum Fever Fight Sweats Pain in Chest Dyspnea Orthopnea Edema Cyanosis Weakness Hemoptysis Palpitation Precordial Distress H 0016089 Frequently necessary to unload gasoline in covered shed with poor ventilation, particularly on hot days with little air movement* Ke 0016090 8-17-194-9 ASTROENTERIC Appetite Pi?aair Food Habits Regular 3 tiroes daily water - 1/2 gal. Thirst large quantity / Food Idiosyncrasy Tomatoes Frequent Use of Catharti^lorde:JI. g0e(js) Allergy Anorexia Nausea Vomiting ColicSl Abdominal PainSlonstipation Diarrhea Abnormal Stools (Mucus, Pus, Blood, Parasites, ''Tarry" or`lCiay-Coiored") Hemorrhoids Eructation Epigastric Fulness Flatulence Hematemesis Jaundice Nausea frequently after eating 1-1/2 to 2 hours (over) GENITOURINARY - 2-3 times SI. Dysuria Pain Nycturia/ Hematuria Polyuria Edema of Face Retention Urgency Slight' Frequency xjncontinenceSLEnuresis Urethritis Libido Impotence Gonorrhea Syphilis (Nature and duration of treatment) No NEUROPSYCHIATRIC Sro Characteristic Behavior Pattern* Emotional Instability / Euphoria Depression Occas. Compulsive Disorders Neurotic Traits Phobias Anxiety Memory nsomnia Nervousness X Excessive Dreaming SomlertigoSI.Headache Tremors Convulsions Paralysis Parethesias Anesthesia Visual Disturbance Some Dysphagia Ataxia SI. Lassitude Stupor Coma SKELETAL Muscles* Atrophy 7 Aches X Pains x Joints* Stiffness x - Knees, ankles Pain x Bones t in arms Sp. at night - legs - less so/ Cramps X Yfeakness Some Limitation of Motion x At tiroes - right arm PERSONAL HISTORY Marital* Duration 71** Health of Partner Miscarriages 1 Ponestic Situation* well adjusted 2k Good Children 3 Sex Male Age 2u Duration of Pregnancy Approx. 29 2 mo. - spontaneous Place of Birth and Residence* Sullivan County, Indiana Schools and Education* Completed 1 vear high school Pipeful 2-3 x Addictions* Tea0ccasCoffee2-3/ Alcohol Drugs Social Interests* loading X cups daily Games Medicines Tobacco 2-3 Amusements cigars Sports Basketball - Hobbies Fishing, hunting Vacation 3 wks. lastjdaily Spectator seldom has time year) with occas. FAMILY HISTORY only vacation lapses of "Nervous Breakdown" Familial or Hereditary Disease Other Diseases Mental Disease 1-2 weeks State of Health Age Cause of Death Father Mother Siblings 1 sister 66 1. and w. 1 bro. TBC? 78 74 63 "old age" "01d age" PRESENT COMPLAINTS (Include duration, precipricing facck^v8--ors,,9mk---u-'c-r-uh-R--a1--s--3:'in,,o--juf,,rykidney or unusual industrial hasard, progression, and previous ^ . therapy.) Onset 4-5 years ago (1943-44) - did not know what ^ne trouble was - felt run down, weak, noticed loss of weight especially during summer^- oecaroe dizzy and fainted while attending church (March I9L.6) - visited pnysrcian following day (Dr. Whipps, Carlisle, Indiana) (see attached file with .^story of illness as recorded by Dr. Whipps). Doctor did not find any physical abnormality to account for trouble. Patient disturbed by fact that several S.O. agents had died suddenly in recent .months and thought that something 0016091 G.S. _ Indigestion characterized by symptoms as noted - also light headed and nervous - ''headache 3/4- time" Examined by doctor in St. Louis (in 194-6) as request of Dr. Whipps - never received report. ". in gas might be poisoning them. Dr. Whipps thought this a possibility worth investigating so sent sample :, of urine in fruit jar with metal cap to nearby Sherman Hospital, Sullivan - report "lots of lead". Samples then sent to Kettering Laboratory. 0016032 ,.AME GENERAL APPEARANCE ~W wt. 168 PHYSICAL EXAMINATION DATE 8-17-194.9 3A - R T. 98.2 R 20 P. ?2 B.P. (Position) ll8/78 LYIAP5 NODES - Spitrochlear o Axillary o Cervical O Inguinal o Femoral o HEAD - Skull Jot remarkable Hair Scant Scalp Keprative Eyes - Pupils* Si zeSruall Equality Equal Contour c Reaction to L. and A. vormal En- O Ex-ophthalmos O Nystagmus Strabismus o Conjunctivae O Sclerae o Corneas o Vision; Acuity Bifocals Failing Test Chart; Rt. 20/ Lt. 20/ Corrected; Rt. 20/ 20 Lt. 20/20 Glasses Ophthalmoscopic; Fundi Neg Discs Keg. Vessels Neg. Ears - Hearing; Ingersoll Tfatch Rt. h.0/iO Lt. 1^q /&0 Tuning Fork (256) - Air Conduction /Rt. Lt. Bone Conduction Rt. Lt& Otoscopic; Negative Normal Nose - Septum; Deviation No Perforation o Mucus Membrane; Normal Edema o Pallor Congestion Left Discharge (serous, mucus, purulent) Turbinates; Normal EnlargedObstruction Mouth - Oral Kygiene$at IS Lips Tremor O Pallor O Ulceration Buccal Mucosa o Tongue; Pale Beefy Clean Coated Smooth Atrophic slight Fissured Deviation' Tremor Twitching" Teeth; X Missing; / Non-restorable Carious Tooth; 0 Restorable Carious Tooth; Py Pyorrhea; D Dead Tooth; B Bridge; P Plate; C Crown; F Filling. Normal Firm Gums; Color / Consistency /Recession O Inflammation O Pyorrhea OBleeding o Lead Line (Exact Description and Location) Lone Throat; Pharynx Lymphoid Tissue O Post Nasal Discharge o Tonsils; Size Small, re- Crypts O Exudate o NECK Negative tracted Scars Tumors Cysts Vessels - Stasis Engorgement Pulsation Thrill Bruit Trachea - Midlxne X Deviation Thyroid Gland Not enlarged CHEST formal Size Shape Normal Expansion -normal LUNGS Normal Respiratory Movement / Fremitus; Tactile normal Vocal .Normal Resonance normal Breath Sounds Vesicular Adventitious Sounds HEART 3.5 cm. 9*5 cm. - ST?e R.S.D,/ R.C..D. / Rate; Before Exercise 722 Min* After 50 Hops Uo uo PMI; Location 3 I. b. Precordial Thrill O pounds; Rhythm Regular Intensity TN^oSrhmocak,l O Friction Rub Murmurs O ABDOMEN Contour Kerniae Organs Symmetrical Scars biiat. not palpable Panniculus x Masses o Tenderness Q Free, equal Movement Superficial Veins o Spasm 0 He ooicoys >1 TALI A Normal iwale /cTscharge Chancre Scrotum Testicles Normal o Scar o Phimosis o ANUS AND RECTUM _ Hemorrhoids}. External O Internal Ulcer Fissure P'10STATE GLAND 3-:all symmetrical - nottender EXTREMITIES Normal Deformity Atrophy Movements Edema Cyanosis Scars Varicose Veins Ulcers JOINTS Normal Clubbed Fingers Toes Hallux Valgus Flat Foot Epidermophytosis SPINE Normal Deformity Sacroiliacs Limitation of Motion Tenderness Muscle Spasm NEUROLOGICAL EXAMINATION CRANIAL NERVES Not remarkable I. II. Vision Ophthalmoscopic III . IV. V. VII. VIII. IX. X. (Carotid Sinus) VI. (Pupil - EQM) XI. XII. SENSORY FUNCTION Superficial: Tactile NormalPain Normal Temperature Vibratory (128) Normal REFLEXES: Indicate response ; 0, not elicited1, sluggish; 2, active; 3, exaggerated. Deep Biceps Triceps Radial Wrist Rt. 1i i! 2! 2I 1 Lt. 1 1 2' 2 Ulnar Patellar Achilles Rt. 1 2 2 Lt, * Superficial Rt, 1 j Upper Lat. Abdomen I 2 j Lower Lat. Abdomen 1 2 i Cremasteric Plantar j Corneal CL x i Lt. JL i 2 i 1 MOTOR FUNCTION Adequate Muscle Strength Tone + Myoedema Gait^or. Extensor Weakness o Ankles o Paralysis O Fibrillary Twitching o Position Sense; Ataxia Romberg Heel-Knee Finger-Nose Past Pointing o Neg* Normal Normal No Tfrists O Clonus o Astereogncss do MENTAL STATE Attitude Loop. General Behavior normal Cooperation + Insight + Judgment Satisfactory Intelligence + Attention + Personality Type.i Average Normal KaMgQfcifi. Hysterical Hypochondriacal Rigid Paranoid Extraverted Introverted Constitutional Psychopathic Epileptic Emotional Reaction^. Well Adjusted Irritable Depressed Defensive Agitated sl* Indifferent Oversensitive Suspicious Compulsive Elated (Euphoric) Disturbed Consciousness: Disorientation Stupor Convulsions Delusions Delirium Memory Defect Coma SPECIAL TESTS AND EXAMINATIONS! Samples of blood and urine for quan. lead SUMMARY AND INTERPRETATIONt, Anxiety neurosis. DIAGNOSTIC IMPRESSION Anxiety neurosis wi-th gastric an1 f e s t atons 0016084 S. V. Kitsmiller M.D, Signature of Examiner LABORATORY EXAMIRATIOH HUMBER SUMS' DATE 8-17-19^9 BLOOD Hemoglobin. (Spencer Kb Meter) ............+44,................ gm./lOO ml. Hemoglobin (Oxyhemoglobin) ..................................... gm./lOO ml* Red Blood Cells 10s/mm.3 k,2kOtODQ............ Sedimentation Rate ............................ mm. - 1 hr. Plasma Protein Hematocrit 'ihite 31ood Cells 103/mm.3 ................ ................ ..6*XQ0 gm. mm. Differential Count Polys Stabs Lymphocytes Monocytes Eosinophiles Basophiles Stippled Cells .... . ............0.5: ....aQ.P. ............9*$.. ,/50 Fields URIKS Color: , fr.c.^9F....... Reaction: pH ........... ^................ Sp. Or. . Albumin ... .Q........ . Sugar........... Q......... ................ .... Blood.......... Q... Microscopic: Few BBC, occas* opith. # 1 clump WBC, rar RBC SEROLOGY: Wassermann Kahn Kline Eagle Positive Negative Signature of Examiner Kfi 0016095 Name Home Address MEDICAL RECORD ^ARace Telephone No. Sex tft I Age C>0 Employed Byt ^ IJD'ISTRIAL HISTORY Present Occupation (Exact description with dates of this and, previous employment at sane job.) ^ tj 'Sf~. , `-Jh V' - -7% A/ttuAyk (" Previous Occupations (Approximate dates and length of employment) 1 ^ 9222 j 7V,' . <$ 3*yu* /9^ .Lead Hazards (Dates ana duration) 2/1 A**'sy/c>^~j *'">{ pj^jp fj? Apainting (including work at home) Use of Discarded Battery "Shite $eadr .^ Plumbing Boxes as Fuel Pottery L^cce^r/ Automobile and Car Body Work ^Hunting, Trap Shooting, Glass ^ Jj / ,, Type Casting Target Practice Rubber (***?? ? J/UnAA - Smelting (Indoor Range) Garage _,# Gasoline Treating (Refinery) Soldering Rpefinefirvy /- S* Storage Battery Enameling Filling Stati Lead Burning Paint Manufacture l/Bulk Station t/Gasoline Truck Automobile Owner Kind of Gasoline <f Other Industrial Hazards ih* / 0wn Repair t7ork 7*4* Xu pL^hA1 Vitt' f 1 Childhood Diseases $ Rubeola PAST MEDICAL HISTORY Lumps PA* Rubella y^ . Scarlet Fever Chorea ^ Variolao Varicella A Pertussis \ Acute Infectious Diseases^ Rheumatic Fever pneumonia Pleurisy Arthritis Malaria Influenza*''-' Tonsillitis Tubet rvcUu*wloosxisu uSjryppi x hilis wGvownwoi r*rihivetat iPvoixliovumyr vy*eiliutxisu Other Diseases) t^Cno<c. ' Allergy t Injuries, Accidents, Operations; r" -pAj&i -/ u/ State of Health ^ Q Wt, f Best/nh/Usual/^) Eyest Vision - Normal ^Failing fbiplopia Q -RfkJb ( /9M ) -V-, Present/ fj Recent Gain Loss Inflammatory Disease n Cataract Ears* Hearing - Normal \A Loss Earache o Discharge ^ Tinnitus Noseg- Smell - Normal Colds Q Loss or Perversion Sinus Disease q Discharge o Ep istaxis Obstruction Moutht Soreness O Ulcers 0 Salivation <2* Dysphagia TastejNormal Ayi, kAgjLtfgsA' Loss Metallic^ yp Tongue * Sore O Burning Sensation g~ Teeth* Devitalization O Pain 0 Caries o Bridgework a Gurrs;- Bleeding V Recession ^ Throat arid Pharynx* Angina d? Tonsillitis Hoarseness - Dysphonia P Aphonia - tt.A - lARDIO-RBSPIRATORY 'Ia A. ,, Cough Sputum Fever Night Swats Pain in Chest Dyspnea Orthopnea Edema Cyanosis Weakness Hemoptysis Palpitation Precordial Distress c/, I rFfc '..<J . ( Ap `Ayo* HE OOlCOiHi f A ($/J ^A&-&^0L, - *fi> ^ ~ fi~1/( @t) z'/'/ffy - h o^o l ^-pi/&-7J o' 0t^-tY^ 7^-4 / r 417^ 4^4^ -2^WP 1 |K^tc/^ JyY?sA ^9<AA ?4 /LuyCr^f 2^/5`A/K Azc KE 0016097 ASTROEHTERIC , ~ h .. ? Appetite Mk Food Habits ^U^u/^u ~2b yc&tA*? Thirst Food Idiosyncrasy r ' 7 Frequefat Use of Cathartics^ [) r t ^2_. Allergy / y .. g/. Anorexia ^ Nausea'' Vomiting^ Colic '"'Abdominal Pain' 'Constipation Diarrhea Abnormal Stools(?(Mucus, Pys, Blood, Parasites^ "Tarry" oj-i'Clay-Colored") Hemorrhoids#,Eructation'^Epigastric Fulqess' ''Flatulence Hematemesis^ Jaundice <9 <CfcZ <- Lrv%) GENITOURINARY P Oo tf 7j suria Pawi Nycturia Hematuria Polyuria Edema of Face Retention Urgency (&* frequency j^fncontinence Enuresis^ Urethritis 0 Libido, Impotence Gonorrhea Syphilis (Nature and duration of treatment) } ^ NEUROPSYCEIATRIC Characteristic Behavior Pattern; Emotional Instability Euphoria Depression Compuslsiivve Disorders Neurotic Traits ^Piphhob^niaass Anxiety Oc/ Mmemory Ov Insomniiaa4^* Nervousness is Excessive Dreanrn^1^ Vertigo^/ Readache/ Tremors <2? Convulssions*# Paralysis q Parethesiasj/^ Anesthesia^ visual Disturbance Dysphagia^ Ataxia^J} Lassitude Stupor q Coma O -- SKELETAL 7 Muscles > Atrophy Joints Stiffness v//. Aches Pains ^, Pain / CrsunpsWeakness Limitation of Motion Boness ^ __ . PERSONAL HISTORY Maritalt Duration Miscarriages " t Domestic Situation} / Health of Partner Children 7 $ i* Sex Duration of Pregnancy f11 sj -1 ' / ^ inh SS<* ge**25gt ^ Schools and Educations fy**. tSy\ ' 4'k "Nervous Breakdo-wn" 0 Familial or Hereditary Disease Q Other Diseases g? Mental Disease <? /*%**.. Si^ K 0016098 ^ OAXP - A^AA/i^^? 'fir ^AfSO-~ ^j z^&Mu! % <&&&&? jjtl* ^T i-A-ftA *h Ad %j ^-7 4* A^pimAA AA, t S- AA a a f^S? o / 6-y <v22y *? </? So, *1/*XS X^e yZc^Rc-/cJ^ <=# Ao^fjA ~A_^ <l O^A-X- ^ ' <XL% 'Au ~yA A yAi<^. - A-OX AOt c- X*~*^ AXS~ 4^t C^A~ rt^y^ A ^2, a ^XyA AtOc a AAa /A A o?Ayr yy tf 00MG.9-&---'-^--- - -; y ^ DATE n-J? GENERAL APPEARANCE _ 6Et* >? SKIN 1 m. /y PHYSICAL EXAMINATION T. ? v R. 2-0 P. ~7 *> %A--k ,, B.P. (Position) LYMPH NODES - Epitrochlear 3 Axillary d? Cervical > Inguinal 3 Femoral HEAD ** Skull 2i--i Hair - Scalp *7* <? - Eyes - Pupils; Sis Equality -- En- p Sx-ophtha Imos (p Conjunctivas > , Contour O Nystagmus & Sclerae & Reaction to L. and A. Strabismus <? Corneas O Vision; Acuity Test Chart; Rt. 20/ ? Lt. 20/ Corrected; Rt. 20/ ^ Lt. 20/ n0 Ophthalmoscopic; Fundi /Discs / Vessels i Ears - Hearing; Ingersoll Hatch Rt, <7^40 Lt. 7V40 Tuning Fork (256) r Air Conduction Rt. Lt, Bone Conduction Rt, Lt. ' Otoscopic; `rflAU _ Nose - Septum; Deviation 'foy Mucus Membrane; Normal Perforation Edema 0 Pallor 0 Congestion Discharge (serous, mucus, purulent) Turbinates; Normal * " Enlarged & Obstruction ^ Mouth - Oral Hygiene; Lips; Tremor C> Pallor^ Ulceration z> Buccal Mucosa Tongue; Pale Beefy Clean Coatedt/ Smooth Atrophic " Fissured & Deviation O Tremor o Twitching <<? Teetht X Missing; / Non-restorable Carious Tooth; 0 Restorable Carious Tooth; Py Pyorrhea; D Dead Tooth; B Bridge; P Plate; C Crown; F Filling. , 1 X y^16 Gums; Color Consistency Recession Inflammation Pyorrhea Bleeding Lead Line (Exact Description and Location) Throat; Pharynx O . Lymphoid Tissue dD Post Nasal Discharge Tonsils ;/Size -fit rutfep Crypts > Exudate NECK Scars Tumors Cysts Vessels - Stasis Engorgement Pulsation Thrill Bruit Trachea - Midline US' Deviation Thyroid Gland Q CHEST Size Shape LUNRGeSspiratory Movement Ity] Fremitus; Tactile Expansion Vocal 'z^n. Resonance 'tAffi/ Breath Sounds Adventitious Sounds a HEART Size; RR.S.S.p^*n" R-.nC..nD. Rate; Before Exercise5 7^2 Min. After 50 Hops PMI; Locations, c, 1 t /.Pre cordial Thrill & SounJdns. nRht yti_hm ^ ftMj/ *Irntt en_s*ijty Shock Q ^ 0 Friction Rub Murmurs p ABDOMEN Contour Hernias Organs iJ Panniculus Masses (/ Tenderness ^ Movement Superficial Veins Spasm t? t? v K 0016 r ^ITALIA Discharge Scrotum testicles 0( & c? Chancre Scar O Phimosis 6 ANUS AND RECTUM Hemorrhoidst External Q Ulliyps ^ Internal 0 Ulcer, O Fissure ^ Deformity Atrophy Movementsg^Edema^Cyanosisi? Scars <2Waricose VeiaS?^ Ulcers 2 JOINTS Clubbed Fingers > Toes @ Hallux Valgus & Flat Foot 2> Epidermophytosis 2? SPINS Deformity^ Sacroiliacs Limitation of Motion d^Tendemess 2 Muscle Spasm ^ NEUROLOGICAL. EXAMINATION CRANIAL NERVES I. II, Vision Ophthalmoscopic III. IV. V. , VII, y VIII. 1/ IX. j/ X. (Carotid Sinus) is' Vlv^Pupil 2>EOM) XI. Xll. SENSORY FUNCTION . Superficial* Tactile ^ _r> Pain Temperature Vibratory (128) REFLEXES: Indicate response: 0, not elicited; 1, sluggish; 2, active; 3, exaggerated. Deep 3iceps Triceps Radial Wri st Rt,, / y r !1 ! i Lt. // y ^ Ulnar Patellar Achilles Rt. / V* Lt. Rt. / { Upper Lat. Abdomen / j Lower Lat. Abdomen / i Cremasteric | Plantar j Corneal / / Lt, /f ff MOTOR FUNCTION t Muscle Strength one -f~ Myoedema > Gait tensor Weakness O Wrists ^ Ankles 2? Para lysis 2> Fibrillary Twitching O Clonus <3 Position Sense: Ataxiad^RombergGOHeel-Knee Finger-Nose Past Pointing Astereognosis MENTAL STATS Attitude Judgment ,, General BehavioriX^Y^'C* Cooperation Intelligence --f. , Insight -f~ Attention Personality Type* Average Normal Neurotic Hysterical Hypochondriacal Rigid Paranoid Extraverted Introverted Constitutional Psychopathic Epileptic -zfl Emotional Reaction; Well Adjusted Irritable Depressed Defensive Agitated Indifferent Oversensitive Suspicious Compulsive Elated (Euphoric) Disturbed Consciousness; Disorientation p Stupor Q Convulsions \J SPECIAL TESTS AND EXAMINATIONSi SUMMARY AND INTERPRETATION Delusions 0 ODelirium y Memory Defect <5 oC'/wom``"a --La DIAGNOSTIC IMPRESSION K 0016101 M,D, Signature oil Examiner