NR305 Relatives Genetic Record Form Agapi

п»їFamily Genetic Record Form

Your Name: Irina AgapiDate: 3/20/2014

Your Instructor's Name: Prof. Felicia Retainer

1: Family Genetic Record (35 points):

Complete the family hereditary history contact form below. Reveal if details is N/A (not applicable) or unknown. Indicate any information the person did not want to disclose by observing " Does not want to reveal. ” Family Member

Description

Familiar grandfather

Initially and previous initials:

T. M.

Birthdate:

1900

Death date:

95

Occupation:

Shopkeeper

Education:

High School

Principal language:

English

Wellness summary:

Dementia. Died of any stroke.

Protector grandmother

1st and last initials:

Watts. M.

Birthdate:

1905

Fatality date:

2150

Occupation:

Homemaker

Education:

High School

Main language:

English

Well being summary:

3rd there’s r. leg BKA amputation, diagnosed with lung disease. Died of unknown trigger, possible MI. She was found in a period of time not breathing. Father

First and last initials:

BM

Birthdate:

10/27/1935

Death particular date:

Alive

Profession:

Retired by BA as a Marketing Movie director

Education:

Bachelor level

Primary vocabulary:

English language

Health summary:

HTN, Most cancers, CABG and MI at age 60.

Father's siblings (write a brief overview of any significant overall health issues) None of them

Maternal grand daddy

First and last initials:

G. F.

Birthdate:

1900

Death time:

1990

Occupation:

Lt. Colonel in the British Army

Education:

Armed forces College

Main language:

Scottish

Health summary:

Rheumatoid arthritis. Died of your stroke.

Maternal grandma

First and last initials:

P. F.

Birthdate:

1906

Death date:

1980

Career:

Homemaker

Education:

Senior high school

Primary terminology:

English language

Health brief summary:

Smoker, COPD. Died of a stroke.

Mother

1st and last initials:

G. M.

Birthdate:

1/15/1935

Fatality date:

Alive

Occupation:

Homemaker

Education:

High School

Primary language:

English

Wellness summary:

Zwischenstaatlich Hip Replacement

Mother's siblings (write a quick summary of any...