ASSESSMENT A. Patients Clinical Data Name Address ender Age Date o# Birt$ Place o# Birt$ Nationality Ci-il .

tatus *eligion B. Admission Data Date o# Admission : C$ie# Com,laint : Diagnosis : Attending P$ysician : 1ital .igns u,on Admission 2 3 P* 3 ** 3 BP 3 %&)&%'!!, !':"' am Le#t +lan/ Pain Le#t 0reterolit$iasis Dr. C, MD "4."5C (6 7,m %' c,m ('&4' mmHg : : : : : : : : : Mrs. M.H.L Brgy. Baesa, Quezon City Male !" years old !%&"'&!(() Quezon City, NC*, %nd district +ili,ino .ingle *oman Cat$olic

!. Patients mot$er ,erce,tion o# reason #or admission: 8Dinala /o siya dito sa os,ital da$il nagrere/lamo siya na masa/it ang /anyang /ali9ang 7ay9ang.:

%. Patients ,erce,tion as $e sees t$em: 8Na$i$ira,an a/o da$il masa/it talaga ang a/ing tagiliran. Hindi /o na/aya ang sa/it.:

". Past Medical History Mot$er -er7alized, 8Noong " years old ang ana/ /o, ,ina c$ec/3u, /o siya sa ,ediatrician namin at meron natu/lasang nana sa /anyang le#t /idney. Binigyan lang /ami ng gamot sa ,agtanggal ng nana.:

;. History o# Present <llness His ,resent illness stated % mont$s P2A, ,atient noted le#t #lan/ ,ain 9it$ no #e-er or -omiting. His urinalysis s$o9ed 02< and ,atient 9as ,rescri7ed anti7iotics. He 9as consulted at N=2< and *0B and result s$o9ed le#t ureterolit$iasis. 0rogram 9as also done. Patient 9as ad-ised surgical inter-ention $ence admission.

>. Personal and .ocial History Patient is in a minor age and a !st year $ig$ sc$ool student. He is t$e %nd c$ild o# ; si7lings. He $as an a-erage grades in sc$ool. He is 9it$ good #amily relati-es and li/es to 7ond 9it$ $er #ello9 students. He is a non3smo/er and a non3alco$olic 7e-erage drin/er.

4. +amily History HPN 3 mot$er Positi-e Dia7etes Mellitus Negati-e Ast$ma Negati-e Allergies to Positi-e

). P$ysical Assessment During our s$i#t, 9e $a-e assessed our ,atient and #ound $im lying on 7ed, conscious and co$erent, 9it$ <1+ D> '." NaCl !L to run #or !4 $ours regulated at !> gtts&min, 9it$ side dri, D>? %>' cc @ nal7u,$ine '.! mg&ml A ; cc&$r, in#using 9ell at le#t metacar,al -ein, and #oley cat$eter attac$ed to urine 7ag.