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Margaret Laundry. Age 52 Widow. Family History Mother died 78 cause unknown Father died 47 pneumonia Otherwise negative. Past history. Med negative Surgical Hysterectomy and bilateraloophorectomy at 29. Chebecystectomy at 44 Haemorrhoidectomy at 54 Memtr. 14/28 regular 2 to 3 days Moderate flow No dysmenorrhea Artificial menopause at 29. Obstetr. Gravida + Para 0 Miscarriage at 3 months Physical examination Well developed, well nourished. Wt 171 lbs Heighe 65 Head. Eyes Pupils equal and active react to light and accommod. EOM normal Vision R 20/20 L 20/20 ENT normal. Neck Normal Chest Lungs clear to a and p Heart not enlarged. Sounds of good quality. No T or R. There is a harsh blowing systolic murmur at apex, not transmitted. RSR VR = PR=80 Bloode pressure 138/80 A2 > P2 Extremities normal Impression Mitral valve lesion Etiologtunknown Acceptable Mary Yergen Age 52 Widow. Family history Sister died Had rheumatic fever Father died 63 Acute Alcoholism Mother died 75 of stroke Otherwise negative. Past history negative Obstetr. Gravida TT 01 Para Two Caeserian Section 25 and 22 ye years ago. Menstr. 15/28 regular Moderate flow No dysmenorrhea Menopause 5 years ago. Physical examination. Well developed and nourished Wt 121 lbs Ht 64 inches Head Eyes Pupils equal and regular, react to light and Accom. ENT normal Vision Glasses R 20/40 Without 20/50 L 20/40 11 20/50 Neck Normal Chest Lungs clear to A and P Heart Not enlarged. Sounds of good quality No I R or M An > P2 RSR VR =PR = 70 Blood pressure 130/80 Extremities normal Impression No defects

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    "ocrText": "Margaret Laundry.\nAge 52\nWidow.\nFamily History Mother died 78 cause unknown\nFather died 47 pneumonia\nOtherwise negative.\nPast history. Med negative\nSurgical Hysterectomy and bilateraloophorectomy\nat 29.\nChebecystectomy at 44\nHaemorrhoidectomy at 54\nMemtr. 14/28 regular 2 to 3 days Moderate flow No dysmenorrhea\nArtificial menopause at 29.\nObstetr. Gravida + Para 0 Miscarriage at 3 months\nPhysical examination Well developed, well nourished.\nWt 171 lbs Heighe 65\nHead. Eyes Pupils equal and active react to light and accommod.\nEOM normal\nVision R 20/20\nL 20/20\nENT normal.\nNeck Normal\nChest Lungs clear to a and p\nHeart not enlarged. Sounds of good quality. No T or R.\nThere is a harsh blowing systolic murmur at apex, not\ntransmitted. RSR\nVR = PR=80\nBloode pressure 138/80 A2 >\nP2\nExtremities normal\nImpression Mitral valve lesion Etiologtunknown\nAcceptable\nMary Yergen Age 52 Widow.\nFamily history Sister died Had rheumatic fever\nFather died 63 Acute Alcoholism\nMother died 75 of stroke\nOtherwise negative.\nPast history negative\nObstetr. Gravida TT 01 Para\nTwo Caeserian Section 25 and 22 ye\nyears ago.\nMenstr. 15/28 regular Moderate flow No dysmenorrhea\nMenopause 5 years ago.\nPhysical examination.\nWell developed and nourished\nWt 121 lbs Ht 64 inches\nHead Eyes Pupils equal and regular, react to light and Accom.\nENT normal Vision Glasses R 20/40 Without 20/50\nL 20/40\n11\n20/50\nNeck Normal\nChest Lungs clear to A and P\nHeart Not enlarged. Sounds of good quality No I R or M\nAn > P2\nRSR\nVR =PR = 70\nBlood pressure 130/80\nExtremities normal\nImpression No defects"
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