Physician Report by Dr. Wallace Graham for Former President Harry S. Truman

RESE. :H HOSPITAL AND MEDICAL CENTEL Kansas City, Missouri TRUMAN, Harry s. Wallace H. Graham Ex-president Truman was admitted to the Research Hospital with complaints of having continued pain and cramping throughout the entire abdomen, with particular pains in the lower pelvis. He's had this distress present the past week and the past four days he has had considerable, seemingly, constipation with intermittent diarrhea, yet never having a complete bowel movement. He has been leading a rather sedentary life the past month and has not been taking his usual walks and he develops constipation and discomfort from this standpoint. He has occasional vertigo. This has been present in the past, however. He tends to be somewhat unstable when walking or standing. He has been wearing a cane for some time, however he does not wish actual help to any degree and tries to put his clothes on himself sometimes and gets tangled in the leg of his trousers or some other similar episode and he tends to fall very easily at this time. He has also been complaining of considerable nausea the past four days and that seems to be more alarming as this has not been true of the past. It is known, however, that he has a redundancy of mucous membrane of the gastric pouch which protrudes through the pylorus and into the duodenum at times and it is believed that this is the present problem as an etiological factor in his nausea. However, this must be studied and evaluated from this standpoint, at this time as a possibility. He has been noticeably more dis- oriented the past three weeks than previously. He tends to lose his trend of thought rather easily. However, he answers questions very intelligently and he continues to have a good sense of humor. He is quite direct and answers very straightforward. At the present time, he is probably suffering with a fecal impaction in the sigmoid. This seems to be a place of irritation and chronic recurrence of the problem and will be studied carefully to determine whether there is any other type of lesion present. In his general systemic review, eyes, ears, nose, and throat haven' changed any. His sight is quite good and he reads quite prodigiously. He has frequent vertigo. Cardio-respiratory system is entirely normal and negative. He does, however, have occasional swelling edema of the feet. This is somewhat unusual, however. Cont. TIMMAND NARA DRADE HISTORY & PHYSICIAL EXAMINATION OPERATIVE REPORT DISCHARGE SUMMARY DELIVERY NOTE CONSULTATION REPORT Prenatal history Form 10 - 86