Physician Report by Dr. Philip Reister for Former President Harry S. Truman

Truman, Harry, S. P. D. Reister, M. D. This 84 year old , former President, was admitted with acute gastroenteritis, and fainting at home. During the episode he fell receiving a minor concussion, he was not unconscious. Primary complaint was readilly controlled. He was seen by Dr. Lewis relative to the moderate head injury. No acute findings or pathology Of this was noted, however, evaluation Of his hyperactivity and particularly the purposeless move- ments OF the left arm and leg at times and the clamping of his jaws, it was felt that this was on an arteriosclerotic basis. Chest film was negative. Skull films were normal. Hepatic scan was negative. EEG revealed just diffuse slow pattern with probably again on the basis of arteriosclerosis. EKG continued to demonstrate an old AV block, first degree, other- wise not unusual. Upper GI series repeated twice, revealed a small smooth lesion of the distal stomach which was generally felt to be a benign leiomyoma, at any rate it was elected at the time of consultation with the radiologist andof Dr. Graham, that the patient should be followed at intervals. Patient was rather anxious to return home, as was his wife. The barium enema and signoidoscopy which were planned were temporarily postponed. Blood count, SGOT, glucose tolerance, VDRL, urinalysis, all within normal limits. SMA 12 had revealed a slight elevation of glucose and glucose tolerance was performed, alkaline phosphatase was minimally increased, and the SGOT slightly increased. FINAL DIAGNOSIS: Gastroenteritis, acute. Syncope secondary to above. Minor contussion. Arteriosclerosis generalized. Leiomyoma, gastric. PDR: oh 3/17/69