Documente Academic
Documente Profesional
Documente Cultură
3-D
Identifying data: M.A.,62 years old, Born on April 17, 1953, Manila, Religion is Iglesia
ni Cristo, Married, Filipino nationality, currently resides in Bagong silang, Caloocan,
admitted on July 9, 2015 in NRMF-medical hospital.
Chief complaint: follow up
Interval History:
30 years prior to admission, patient presented with back pain, incontinence,
and fever. Patient frequently delays voiding because of her work. She was
diagnosed with Pyelonephritis with UTI, physician prescribed antibiotics which
relieved the signs and symptoms.
1 year prior to admission the patient presented with above symptoms and
was prescribed unrecalled antibiotics. Same signs and symptoms recurred 3 more
times. Also diagnosed with Diabetes Mellitus type 2, Metformin 500mg/tab BID was
prescribed as maintenance. Diagnosed with Hypertension, Losartan 50mg/tab OD
was prescribed as maintenance.
16 days prior to admission, patient presented with fever, 42C, had syncope.
Admitted in FEU NRMF medical hospital for 7 days, was diagnosed with
Pyelonephritis, Pneumonia, and Liver cirrhosis. Omeprazole 40mg/capsule, 1capsule
OD, Nitrofurantoin 100mg/tablet OD.
1 day prior to admission patient presented with fever and loss of appetite,
38.4C, self-medicated with Paracetamol every four hours, four times, which relieved
the fever.
On the day of admission patient went for a follow-u checkup. Urine culture
was conducted, results showed the urine was positive with blood. Patient was
advised for admission by the physician, resulting to subsequent admission to FEU
NRMF medical hospital
Family History:
Review of Systems: