SKIN: Scar 2 inches long extending across the
forehead and downward between the eyes and across the bridge of the
nose The skin of the groin is macerated bilaterally as a result of
being constantly moistened with urine.
EYES, EARS, NOSE AND THROAT: No marked abnormalities.
LUNGS: Hyper-resonant throughout with moderate enlargement of the
chest cage suggesting the presence of mild emphysema.
CARDIOVASCULAR SYSTEM: Apex of heart palpable at a point I cm
medial to the left mid-clavicular line. No evidence of right heart
enlargement could be detected Pulse 80 Blood pressure 130/75 Pulse
full and regular except for an occasional skipped beat The distal
palpable arteries in the wrist and ankles were markedly sclerotic.
MUSCULO-SKELETAL SYSTEM: Both legs and arms were slowly moved by
the patient although all movements of the extremities were associated
with moderate spasticity The patient was unable to stand alone or
walk when he was held upright.
NEUROLOGICAL SYSTEM: Pupillary reaction to light normal. Deep
tendon reflexes in arms and legs were normal. Normal reaction to
plantar stimulation.
GENITO-URINARY SYSTEM: Incontinence of urine was noted at the
time of examination. Genitalia appeared normal. A prostatic
examination was not made.
GASTRO-INTESTINAL SYSTEM: Abdominal examination was normal.
Incontinence of the bowels was noted at the time of the examination.
4. IMPRESSION AND PROGNOSIS: It is the impression of the
undersigned that this man is suffering from far advanced generalized
arteriosclerosis which is progressive and that he has already
suffered from repeated small apoplectic strokes It is believed that
this condition has already developed to the point where this man has
lost all capacity for memory, reasoning or understanding of
statements made to him and that transporting or doing anything which
might excite him might endanger his life.
/ s / PAUL F. CHESNUT
Capt., MC
Surgeon