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Personal Data
Name: Amistad, Limuel Tamayo
Age: 1 year 10 months old
Birthdate: 03-22-10
Sex: Male
Religion: Roman Catholic
Chief Complaints:
Vomiting
Final Diagnosis:
Acute Gastroenteritis with moderate dehydration, Acute Bronchopneumonia
I. Family Background
This is a case of a 1 year 10 months old male patient, Limuel Tamayo Amistad, admitted at
Pines City Doctors Hospital on February 11, 2012at 3:05 PM with an admitting diagnosis of
acute gastroenteritis with moderate dehydration and congenital heart disease. He’s the first
child of Mr. and Mrs. Slim Amistad. They are currently residing at 27 A Bayan Park, Aurora
Hill, and Baguio City.
II. Development Data (based on Havighurst and Erikson’s life and developmental
task/psycho)
According to Erik Erikson’s stage of development, Limuel Tamayo Amistad belongs to
early childhood and has a central task of autonomy versus shame and doubt. He indicate
positive resolution of self-control without loss of self-esteem, ability to cooperate and to
express oneself most specially to his mother, grandmother and primary care takers.
III. Health History
A) History of Past Illness and Present Illness
Past Illness History:
Limuel was diagnosed with congenital heart disease.
Present Illness History:
Patient has congenital heart disease, has episode of vomiting not accompanied by
fever and abdominal pain, stool is watery, patient had occasional cough few days.

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B) Pathophysiology of Present Illness/Surgeries
Gastroenteritis
Predisposing
Factors
Etiology Factors
Age
Lifestyle-improper
prepared foods
-contaminated
water
Poor sanitation
Unknown
Diarrheal
Osmotic
Motile
Microorganisms
Cytotoxin
Enterocyte
Affects the
predominant
cells in the
small
intestine
Caused by
intestinal
motility
disorders
May produce
toxins that
facilitates
infection
Production
by bacteria
Excessive
intake or
diminished
absorption
Results in
mucosal cells
destruction
that leads to
bloody stools
with
inflammatory
cells
Signs and Symptoms
Nausea and vomiting
Diarrhea
Loss of appetite
Fever
Abdominal pain
Weakness

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Personal Data Name: Amistad, Limuel Tamayo Age: 1 year 10 months old Birthdate: 03-22-10 Sex: Male Religion: Roman Catholic Chief Complaints: Vomiting Final Diagnosis: Acute Gastroenteritis with moderate dehydration, Acute Bronchopneumonia I. Family Background This is a case of a 1 year 10 months old male patient, Limuel Tamayo Amistad, admitted at Pines City Doctors Hospital on February 11, 2012at 3:05 PM with an admitting diagnosis of acute gastroenteritis with moderate dehydration and congenital heart disease. He’s the first child of Mr. and Mrs. Slim Amistad. They are currently residing at 27 A Bayan Park, Aurora Hill, and Baguio City. II. Development Data (based on Havighurst and Erikson’s life and developmental task/psycho) According to Erik Erikson’s stage of development, Limuel Tamayo Amistad belongs to early childhood and has a central task of autonomy versus shame and doubt. He indicate positive resolution of self-control without loss of self-esteem, ability to cooperate and to express oneself most specially to his mother, grandmother and primary care takers. III. Health History A) History of Past Illness and Present Illness Past Illness History: Limuel was diagnosed with congenital heart disease. Present Illness History: Patient has congenital heart disease, has episode of vomiting not accompanied by fever and abdominal pain, stool is watery, patient had occasional cough few days. B) Pathophysiology of Present Illness/ ...
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