Physical examination record for Jack Coffelt (Form No. 26)
Title revised to match the document’s own text.
Original title: NVDH physical examination record for Jack Coffelt (Form No. 26)
Document date 19 July 1973
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Id: Cooper-Part-86:042-042
Subject: Cooper Files: Cooper-Part-86:042-042 Document: Physical examination record for Jack Coffelt (Form No. 26) Id: Cooper-Part-86:042-042 Page: https://cooper.theunsolved.net/documents/Cooper-Part-86%3A042-042 What is wrong (title, date, type, which pages belong together, copies)? What does the scan show?
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FBI 164-81, Vault Part 86 p. 42 (DB Cooper-37886), Form, dated 19 Jul 1973 — cooper.theunsolved.net/documents/Cooper-Part-86%3A042-042
171973
COFFELT JACK DMH# 3743 79005
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GENERAL CONDITION: B.P. 150/90 T. 97.2 P. 100 RESP. 22 WT. ___ General: [guess: 46] yr old, [guess: w/p/w/p], in mild discomfort, oriented x 3, nervous, good [guess: Hx]. Skin: reddened [guess: due] to sun exposure. Eyes: fundi: not [guess: visible] due to constriction. PERLA [guess: EOMS- WNL] Ears: Clear to [guess: vision]. [guess: Good sounds] d/c. Nose: WNL Oral: [guess: Upper plate], [guess: inner lips] - [guess: neoplasma]. [guess: Under] [guess: tone palpable] Neck: Soft [guess: 5 masses], tenderness Heart: NSR, Clear [guess: E1 + E2], [guess: no C1 or C2] CV: [guess: Good] pulses. Lungs: Clear to P + A. G.I.: [guess: Clean] abdomen, No masses, organomegaly, palpable. GU: [guess: Deferred] tenderness. Back: WNL Extremities: [guess: Erythema, edema, ecchymosis] C + C. (L) leg [guess: 2 large] edematous reddened area [guess: 5 & 6 cm diam.] [guess: on medial aspect of left calf] 6 [guess: inches] above [guess: medial malleolus]. [guess: Similar] non- reddened swelling on (R) leg. [guess: Homans sign] (R) non tender (L) [guess: extremelyso]. [guess: Pitting edema on] CNS: [guess: Reflexes dulac/l] standing.
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PROVISIONAL DIAGNOSES: 1. Acute thrombophlebitis 2. ___ 3. ___
EXAMINED BY: [redacted]
b6 b7C
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DB Cooper-37886
Serials: DMH# 3743 79005