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Old Photographs, Recognition, Handwriting Deciphering => Handwriting Deciphering & Recognition => Topic started by: liverpoolgenealogy on Wednesday 24 August 22 16:27 BST (UK)

Title: Physical Description on Admission to Hospital + Test Results
Post by: liverpoolgenealogy on Wednesday 24 August 22 16:27 BST (UK)
I have two more documents associated with this patient that I had forgotten to post before the case notes, but these are the last. (I promise!)

The physical description notes are dreadfully written, I can only make out the first few notes, and almost nothing after that. The urine test results are much easier to read but contains medical jargon I'm not really aware of!

I can't decipher much, but here's what I think at the moment:


PHYSICAL DESCRITPION
Height 5-1 Weight 9-11 Temperature 98F, bodily condition: fat?
Scars: old abdominal scar
[no idea about the rest, looks like knee joint on the second to last line, though.]
URINE TEST RESULTS
Reaction acid, [?]
all [?]
[?]


As always, any help is much appreciated!  :)

Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: arthurk on Wednesday 24 August 22 16:40 BST (UK)
In the first one I think it's Bodily Condition - Fair (though some of the details don't sound wonderful).

In the lower part, I think I can see:
Tongue - Furred    Teeth - Nil
Abdomen - Very adipose
Herniae - Nil

And the last line:
Pupils equal do not react to light

Edited to add:
higher up, Pulse - Regular   Arteries - arteriosclerotic

The rest is a mystery to me.
Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: liverpoolgenealogy on Wednesday 24 August 22 16:43 BST (UK)
In the first one I think it's Bodily Condition - Fair (though some of the details don't sound wonderful).

In the lower part, I think I can see:
Tongue - Furred    Teeth - Nil
Abdomen - Very adipose
Herniae - Nil

And the last line:
Pupils equal do not react to light

The rest is a mystery to me.

Thank you for your help Arthur, I really appreciate it! :)
Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: arthurk on Wednesday 24 August 22 16:49 BST (UK)
There was a bit more that I added while you were typing (it's missing from what you quoted).
Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: liverpoolgenealogy on Wednesday 24 August 22 16:59 BST (UK)
There was a bit more that I added while you were typing (it's missing from what you quoted).

Thanks for adding more.  :)
Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: shanghaipanda on Wednesday 24 August 22 16:59 BST (UK)
Resp system:  Fair air entry.     ??    sounds
Pulse: agile      Arteries:  Artero-sclerotic
Heart:  Impaired ? with shortened sounds
Tongue: furred   Teeth:  Nil
Abdomen:   ?
Hernia:  Nil
Genito urinary system:  NAD (Nothing abnormal detected)
Nervous system:  Knee jerks, plantar response.  Flexor.
Pupils equal do not react to light

Your second part is a report on a urine sample. 
Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: shanghaipanda on Wednesday 24 August 22 17:06 BST (UK)
Reaction acid. Specific gravity 1018
Albumin nil.  Sugar nil.
Centrifugal deposit.  Nil abnormal.
Title: Re: Physical Description on Admission to Hospital + Test Results
Post by: liverpoolgenealogy on Wednesday 24 August 22 17:11 BST (UK)
Resp system:  Fair air entry.     ??    sounds

Wow! Thank you so much ShanghaiPanda! This really is fantastic! How you've managed to read so much I'll never know but thank you so much for helping me, I really do appreciate it!! :)