Present Health History

Jun 21st, 2015
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The University of Texas - Pan American
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Peach Twinkle T. Abundo, 1 ½ years old, female from Calatagan Virac, Catanduanes was admitted at EBMC on September 17, 2011 at 12:25 PM with a chief complaint of vomiting.

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Patients DataName of Patient: Peach Twinkle T. AbundoAge: 1 Sex: FemaleAddress: Calatagan Virac, CatanduanesReligion: Roman CatholicMedical Data:Date of Admission: September 17. 2011Time of Admission: 12:25 PMHospital Number: 557Attending Physician: Dr. Louie PantiChief Complaint: VomitingDiagnosis: Pneumonia, Intestinal ParasitismHealth HistoryPresent Health HistoryPeach Twinkle T. Abundo, 1 years old, female from Calatagan Virac, Catanduanes was admitted at EBMC on September 17, 2011 at 12:25 PM with a chief complaint of vomiting.Upon admission baby Peach Twinkle T. Abundo is conscious and coherent. Her CR is 101 bpm, RR is 25 bpm and T of 37.1 C. She weighs 8 kg. Upon auscultation fine crackles is noted. Cough and colds are present. She also vomits and her mother claimed that there is a change in her bowel habit. Dr. Panti, as an Attending Physician, requested for laboratory examinations such as CBC and Stool Examination. The result of the Hematology revealed an increased in WBC counts therefore the patient have an infection. Past Health HistoryThe patient is born through CS. Her feeding is composed of breastmilk and also formula milk. Her immunization is complete. The patient dont have any past confinement after she was born.Developmental TaskAutonomy vs. Shame & Doubt is Eriksons second developmental stage, as the child gains control over eliminative functions and motor abilities, they begin to explore their surroundings. The p

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