Case Study PATIENTS PROFILE

Jun 18th, 2015
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Alabama State University
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Patient’s condition started about 6 months prior to consultation, as onset of cough, non-productive and an intermittent fever usually in the afternoon, moderate grade temperature which are not documented. According to her it was relieved by an intake of paracetamol. Patient experienced worsening of the condition, she had productive cough non-bloody with whitish secretions. There is also difficulty of breathing and vomiting. The patient can’t eat properly because she has no appetite for food. She also experience stabbing pain on her chest according to the assessment it is 6/10 and it radiates to his back. The patient only took paracetamol for her fever.

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PATIENTS PROFILEName: Eufemia BugoyCiaAge: 46 y/oBirthplace: Pulangi, AlbaySex: FemaleReligion: Roman CatholicCivil Status: MarriedAddress: Baras CatanduanesAttending Physician: DR. ESPINOLAHistory of Present IllnessPatients condition started about 6 months prior to consultation, as onset of cough, non-productive and an intermittent feverusually in the afternoon, moderate grade temperature which are not documented. According to her it was relieved by an intake ofparacetamol. Patient experienced worsening of the condition, she had productive cough non-bloody with whitish secretions. There isalso difficulty of breathing and vomiting. The patient cant eat properly because she has no appetite for food. She also experiencestabbing pain on her chest according to the assessment it is 6/10 and it radiates to his back. The patient only took paracetamol forher fever.Past Medical HistoryThe patient had upper respiratory tract infection when she was a child, she cannot remember. Previously she was not hospitalized.She does not have complete immunizations because according to her it is not available in their place during those days; she has nohistory of hypertension and Diabetes mellitus. Whenever she had any flu or cough, she uses herbal plants. She does not have anyregular medical and dental check-ups. She does not have allergies to whatever kind of foods and medications as far as she knows.Whenever she had fever she takes Paracetamol and Bioflu.Deve

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