Document kDd4NrRXov0y0gKDZ6ZxX7ypB

ooitimmog sa gawnttea s ms Slain, o *:e># l&*5f:? Glalaanti AddCe*#*>10^rtfBI#l$.: -St**SCtl Cl&eiBOfttif Chi sate at >pril as* IfSt . *8M 55 History C*0 I'eakosso# oonaftlpatios* pale date left neek and aw with disability ef * ?,1. Cme& of saute illness February If* 1957* rnmimim tarosgh 1U&* .-15th aad 16 th elm obstinate aeatblpatiea* vomiting* oaorsjet** lie and with awetlab* unpleasant taste la- south# lllnast* said to be wittiest feta** Mato** la bed- etoeub fear seeks* then seat to- phyeioiaii far tm&tmmt* -Baa rseelwsd lajeotie&s Untrsvaaoss) dally to Marsh iftti (From mrnrm ffehl* Sit: abdominal pale disappeared and w ^driveninto-hie-am aad should*?* dm: it has- persisted alaeo with' improvement -and rolassoa* see iissah. at. first, with faniesalea* as* eh@ sspaslsiiy- than nsvsd* with feeling f "soreness Is to8* Involve wolf: 'aad eater arn sspseially* lias apparentIf improved aoBSwhat* Has lest wight# he bell etas* ro looseness of slothing* lias lost all seal interest aiaea asset of illness* F#H* lorried sins# 1929a 2 afcitdrea of S end f * So deaths* mlaaerriage* or abortions* Slfe In good health*' Mother alive aad soil* father dead of tsiimosa saw fefe'Mu M& trsttasrs -or sisters# 'oupat ioaal * Irrelevant *eaph for period beginning spring of 1955* ^ebea-. anplcyad, at Hagle-Piehar Load danpsny* IMS bees enggod la fisiMkiog oat gang4* for-shout tws-yeas* to .feline of I Itcess* ?*li. Ha4:.-essaslenal abdominal discomfort from time to-time during - ssewsd year-of-work# with; tandsa&y to inertssing eonstlpation * took spas* Salta, oaos to talas per mm aim atmae? of 193-6* lever aottftlly 'Hi until present lltmm sfeiatt aeeaaaiteted eeesstios of -work# General health praviaaaiy swollen t# with good ..appetite* good- habits as fee sleeping* drinking* Bast weight about Iff lbs* So serious illness rsmeafcsrsd* Has never bad -caw of doetor ether than plant phyaioiaa until pFsesafc illness* p*0* Limited essentially to weakasaa and disability of left .am* . with pain m ebduo-tloa* Sw weakness of general type especially In mora ing* and a as - persistence of eons tipatk>n* Takes oathertie once or totoo per week*-' Sal Bsastlm&lgp - fairly veil developed and nourished young negro* aith 111 and depressed appearance* slug-.-Is!} muscular movement#, sXvr*peeefe\&fl*?i' effort) .sod ootiaidcrafeX lassitude* The head isbald rigidly, somahst retard to right# ntfeh left earn mintalced inactive at tfea a Ida* There is a scar on the right tenpersi region extend lag dean let the cheek, slfch similar sears# said fee fe@ hm led burns, on the right aisu Several stars on the right leg are seid fc& he ?e&?eiN$!fcvf 9$*6- 5hl.se * ?D 3e*p* 2i Sl*:Pr* 19$/d ' Sara :`st remarkable* The laser turbinates is either nostril are hypertro** shied and boggy hut no other abacrsalltiee -are aeeiu Eyes Beset to and A* poptie /equal# resale* **. Threat Rod and the raucous memfersii# Is scsteffoet asasbou#* Thm ms are deeply: gtgneated at certain .point## especially between the upper . central; inclsorsi*. There is stellar pl&ientatieo of the buccal surface and raaoltig up tesard the sus isergio# .of other teeth* There Is nofelng thet.css certainly fee helled a lead Hoe of `the sat ssrgins'=t;tSier- inside or outside* bat. there .at# faint 'Use* feat; appear to fee-' residual evidences of earlier lead lines* Heart Roraal in. its dimensioae# the first sound is quite, pramtse&t* ' and the apes heat ea eel! ns, the pula Mono in the. supra* end Infra-elavicula fossae are visibly string* So asmu^p or thrill is demonstrable* Tbs 1 chest le syaBsetiriesl and btssre mm m physical signs of altnoraslity of the lungs* Abdomen negative oscept for slight dieeesifopfc n deep palpation to the loft, loser quadrant# the liver and apleen are not palpable* settle tore -Fairly sell, developed, there is seme loeresiie in ayetootle irritability# but there Is m evidence of atrophy'of any smsel# groups* She' aueolee of the right shoulder girdle and ajsa are sesaeshat better developed than tiieee of th# left# ffee refloses of the fees sides are equal and present# the aMoalnal being quite active mil the tendon j#rlss of bofci* mm and legs are elleitable coiy sltb difficulty* ' There x definite tenderness ef ^ie cervical 'ouaelea of the lef t side, along the greater ocelgital" nerve# and. aieos the .outer nerve truufle of the left am* The*-1 no byperaeathesis, and no-oreee of1 eoaylete anaesthesia# but heat and cold .and tactile discrimination are definitely impaired over the shoulder area and ever the left arm# as ell aa over the left t*ua&* It Is difficult to estimate the dags?# of iayela&enb* % mm eeoeeloo there eas a definite te&sperature difference in tbe too arse# the left being distinctly coM* 'there 1# as. eartain evident of mu-tale mmkneaa, there Is . sis atrophy# no ataxia in fact* m suggestion of motor Involvement of am, wrist# or fingers # there is no cervical or -ax11nary adenopathy* The lever extremities are net remarkable* KE 0016501 4 Mil 2EiBi^E h history of expo air atad fth description off tb onset and eours off llltjesa Justify tfe# rlgiaei disgfiesi aonffirissd .fey/tii' odf efbmosssal lead absorption* At feh present fti~.e# ft aaenfths aifj&ar ftli '.'siafeioa off*expau*# fttj i^pina&f lead xsretlos la sufficiently Mgjb ft git adetasft vtdcs off a stgai'^laasift dsg^ off le *ad expo*#;$i'Ofth!* vid&n* off lead e .ti :.c blood changes spec! finally eh&raofterioftio off pltxsMss# or are there any cbsr'acftvrl3 ftic oli&ieal signs* Ift sepias prot'i!:1. theft the nodsrato cassia Is a ^eictaal expression off !.'. ; ti3ft?~tcc5l .c# bub aside frees feet other Indio aft ion off sorlc lc>d efts ora "lort I praasnft xsepfc the abnormal load :I:v /1t :o * *boje 'Indie-e# checked to insurer fthetr corrspftaasa# coincide vrlth :sy J-nnrleS ~q off the condition unde? tfhtdfe fth rs't'*: -- rhc-'1# end for ftln 0 reason X accept the patient** . dO'C'lot* c*: of bio IV.v.zr.'i es aredibl stud valid* Os tbs other band th ondiftios of Sti#- : ;..#if:: opinion# la sots related 1ft say dfnir^eft ^ay to le <*: os or Is? d Is5;.r3cr.,'io # f.r.d ihrr;Id-TCt'be aniuc v`0*/-:ft Is ?oft-,:r^Vning -fio pc-terft** *a'.;)n:c9ij> dl;;bl1 '-ftp* Ivor-;; effort, css -rdc :;s a'rT .'o vft r? dir' t j j c Ix of tic r.-f>-/:sc- uff the- li'.otofi -jni* *** c* " * 1 -- ^ |H the ::o' vIes 1 s M.n Lulls ft eftr.-. *.ni dense rf 0 ''`c s v aOOSJv c In ` 's region# o1:' \r i- * nc.1 fflr ! 1 cm -. '.: -. v-' :" e rr ft df.eoloy* rIsfees c" ."fsr*c --f .;he oo"d :,, .vs ec--v?-jel :* `l..--'.* .'`he le :: : .? is thar; 'g : ;,o -'rsl# s t '.V'.ill"* md bcccuso of -><:xrIg sensory c':'g-`:%f-or of "no t-ftr'.rr*1'* V? rny .0 al-iccS ocrtslrtly o s c j ndr-i, .dcrc^v-'* ohv novo; ! ty cC ::;'. n^s! fertatro^a rvs rottJid! fey ,tist aa';l salIcy!la|(piij';'Hli^Pfp||6g as ':ipip|tloss feaaia for tfee allraenft* 1*^. r@asst 1 os^slsid tffisaft ft;:!# olalsanft snffm?:&4. ffre! rn plaodo off lead, Ipfet^loaftloii ffl'tte-(fStall fe may bo xpectad l^gjso^*'# ffrois watch In fast lit hm largely reao'voradi* I e^tcaild xpeot Him ft fe sufesftaSftiaXly nora x : ff-. rr "0^- ffroci o.-c oaoald S't.v- left vi r*c''^a?">:.-ibi4f|l'li1abated nor or lea spvnfta^ocajly* Mjpwsdi 1 Jn ^ K cWc - uMiiwli^iijt ji;.yHii iiil--1 . A* &# is*S* E 001656.2