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OCR Page 1 of 5Miss Vera Eldridge,
RS
I. OCCUPATION
Forowoman
On this sheet are recorded the physical
findings without comment or explanation.
It is meant to serve as a record for your
future use and as a statement of our find-
2. FAMILY HISTORY
ings in case it is necessary for you to con-
sult a doctor.
Heart trouble
All items of importance to you are dis-
cussed and explained in the attached letter
signed by the Medical Director.
If there are conditions requiring treat-
3. PERSONAL HISTORY
ment, submit this report to your physician.
LOSS of weight
Frequent sore throat
4. PHYSIQUE
Height (in shoes) 5 Ft.3.5 In.
Chest at rest 303
In.
Abdomen 30
In.
Net 5
Ft.1.8 In.
Present weight (coat, vest or waist off)
115
Lbs.
Ideal weight
116
Lbs.
Net
112
Lbs.
For height (allowance made for frame if
reported light or heavy)
Posture Fair
Skeleton and shoes worn
Musculature
Fair
5. CIRCULATION
Hemoglobin
75
%
Pulse 120 per min. Character regular
2 min. after exercise
94
Blood Pressure:
Systolic
150
Diastolic 92
Body Temperature
98.2
"
144
" 84
2 min. after exercise
Radials (at wrist)
Normal (nealthy)
Average Systolic Pressure
Brachials (at elbow)
Millimeters
Ages 15 to 20
120
Retinals (internal eye)
21 to 25
123
"
Temporals
26 to 30
124
"
31 to 35
124
Other
"
36 to 40
127
"
41 to 45
129
Heart
"
46 to 50
131
"
51 to 55
132
"
56 to 60
135
In health the blood pressure may vary
temporary 15 mm. above or below the
average. Wide variations sometimes occur
from slight nervous troubles.
Normal (healthy)
Pressures persistently above or below
the average should, however, be carefully
studied and followed up.
Normal pulse pressure, the difference
between systolic and diastolic, ranges
from 30 to 55 mm.
Blood pressure of women averages
about 10 mm. less than that of men.
6. LUNGS
Normal (healthy)
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