13
9/23/75
Name: Glick, Daniel Francis
Address: RFD #I, Brock Road, Jerusalem’s Lot, Maine 04270
Age: 12 Sex: Male Race: Caucasian
Admitted: 9/22/75 Admitting Person: Anthony H. Glick (Father)
Symptoms: Shock, loss of memory (partial), nausea, disinterest in food, constipation, general loginess
Tests (see attached sheet):
1. Tuberculosis skin patch: Neg.
2. Tuberculosis sputum and urine: Neg.
3. Diabetes: Neg.
4. White cell count: Neg.
5. Red cell count: 45% hemo.
6. Marrow sample: Neg.
7. Chest X ray: Neg.
Possible diagnosis: Pernicious anemia, primary or secondary; previous exam shows 86% hemoglobin. Secondary anemia is unlikely; no history of ulcers, hemorrhoids, bleeding piles, et al. Differential cell count neg. Primary anemia combined with mental shock likely. Recommend barium enema and X-rays for internal bleeding on the off-chance, yet no recent accidents, father says. Also recommend daily dosage of vitamin B12 (see attached sheet).
Pending further tests, let’s release him.
G. M. Gorby
Attending Physician