Physical
|
身高:
172 cm
(5'8") |
体重:
83 kg
(184 lb) |
眼睛颜色:
棕色
|
发色:
黑色/
小卷 |
肤色:
中等
|
祖辈:
多种族
|
|
血型:
B+
|
族裔:
Costa Rican/African American
|
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|
教育:
Pursuing Doctor of Pharmacy
|
职业:
Pharmacist Intern
|
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|
兴趣:
|
Basketball, Football, Poetry, Weightlifting, Writing
|
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Medical
| Question | Response |
| Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
| Any dietary restrictions? If yes, explain: | No |
| Do you wear glasses or contact lenses? Are you near or far-sighted? | Yes - Near-sighted, R: -1.50 -0.25 110 L: -1.50 -0.25 035 |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Ciprofloxacin, tendonitis (rare side effect of drug class Fluoroquinolones) |
| CMV IgG Antibody | Negative |
| CMV IgM Antibody | Negative |
| Note any comments regarding above items: | N/A |
Family Medical History查看问题列表 here
Your Mother
| Question | Response |
| Current age or age at death | 61 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Gallstones
60
Gallbladder removed
Macular Degeneration
57
OTC vitamins
Your Father
| Question | Response |
| Current age or age at death | 88 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause undetermined) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Heart attack
70
Unknown
High blood pressure
65
Medication
Brothers
Your Brother 1
| Question | Response |
| Current age or age at death | 38 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
健康问题
健康
Your Mother's Father
| Question | Response |
| Current age or age at death | 70 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Stroke |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Mother's Mother
| Question | Response |
| Current age or age at death | 88 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
健康问题
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
50
Beta Blockers
Diabetes mellitus requiring insulin therapy
50
Insulin
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 65 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
健康问题
健康
Your Mother's Sisters 2
| Question | Response |
| Current age or age at death | 50 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Hay fever/Seasonal Allergies/Allergic Rhinitis
25
Antihistamines
Attention Deficit Hyperactivity Disorder (ADHD)
35
Adderall
Your Mother's Brothers 1
| Question | Response |
| Current age or age at death | 65 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
健康问题
健康
Your Mother's Brothers 2
| Question | Response |
| Current age or age at death | 60 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Meningitis |
健康问题
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
40
Beta Blockers
Obesity
40
None
Your Father's Father
| Question | Response |
| Current age or age at death | 90 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause unknown) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No known diagnosed health problems at time of death
Your Father's Mother
| Question | Response |
| Current age or age at death | 92 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause unknown) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No known diagnosed health problems at time of death
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 90 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause unknown) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No known diagnosed health problems at time of death
Your Father's Sisters 2
| Question | Response |
| Current age or age at death | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause unknown) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No known diagnosed health problems at time of death
Your Father's Brothers 1
| Question | Response |
| Current age or age at death | 90 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause unknown) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No known diagnosed health problems at time of death
Your Father's Brothers 2
| Question | Response |
| Current age or age at death | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Old Age (specific cause unknown) |
健康问题
Disease
Age Diagnosed
Treatment For Condition
Other
No known diagnosed health problems at time of death
Religion:
| Faith | None |
| Denomination | N/A |
Updates to Profile
| Update Available | N/A |
| Updates - Personal | N/A |
| Updates - Medical | N/A |
| Updates - Family Medical History | N/A |

Physical
Medical
Family Medical History
Religion
Updates to Profile