case study Dr. Nicanor Reyes Medical Foundation

Jun 18th, 2015
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He had already given 1 dose of BCG, 3 doses of Hepa B, OPV, and DPT for his immunization. He doesn’t have known allergies to foods and medications, only to dust. He didn’t encounter any accidents and even foreign travel. The patient was hospitalized before with the same diagnosis, which is Dengue. This was his second time and he is currently taking Loratadine + Phenyephrine HCl, Zinc Sulfate, Rifampicin, Isoniazid and Paracetamol as needed. B. History of Present Illness Three days prior to admission, the patient experienced fever with a temperature of 38.5oC and dysuria but with good appetite and activity. One day prior to admission, the patient was still febrile, vomits previously ingested food and with cough. His appetite as well as his activity decreased. Few hours prior to admission, the patient is still with above signs and symptoms. They seek consult, hematologic test was taken and revealed abnormal levels of MCV (mean corpuscular volume), MCH (mean cor

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Far Eastern UniversityDr. Nicanor Reyes Medical FoundationI. Biographic DataName: Maruel Rosalio Aviso SatuitoAddress: Lira St., North Fairview, Quezon CityAge: 6 8/12Gender: Male Religious Affiliation: Seventh Day AdventistMarital Status: Single Occupation: N/ARoom and Bed #: 504-GChief Complaint: FeverProvisional Diagnosis: Dengue fever syndrome; some dehydrationAttending Physician: Dr. C. Micu/Dr. Yang/Dr. AguinaldoII. Nursing HistoryA. Past Health HistoryThe patient has (-) asthma, allergy and pulmonary tuberculosis. He had already given 1 dose of BCG, 3 doses of Hepa B, OPV, and DPT for his immunization. He doesnt have known allergies to foods and medications, only to dust. He didnt encounter any accidents and even foreign travel.The patient was hospitalized before with the same diagnosis, which is Dengue. This was his second time and he is currently taking Loratadine + Phenyephrine HCl, Zinc Sulfate, Rifampicin, Isoniazid and Paracetamol as needed.B. History of Present IllnessThree days prior to admission, the patient experienced fever with a temperature of 38.5oC and dysuria but with good appetite and activity.One day prior to admission, the patient was still febrile, vomits previously ingested food and with cough. His appetite as well as his activity decreased.Few hours prior to admission, the patient is still with above signs and symptoms. They seek consult, hematologic test was t

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