摘要:本文介绍了脑膜炎和肺炎两种病症,药物可用于治疗肺炎,但其他类型的肺炎可以通过简单地避免触发炎症的物质而被治疗。识别和及时治疗肺炎很重要,因为未经处理的肺炎可导致肺部结疤和呼吸永久困难。
Childhood Illnesses:
The patient has a common illness of cough and cold. These illnesses occurred for about 3 to 4 times a year.
Childhood Immunizations:
BCG was given at birth, DPT and OPV at 2, 4, 6 months, and influenza, but mother forgot when this was given and no other vaccines was given according to the mother.
History of Hospitalization:
Medical History:
This was her first hospitalization and there was no any hospitalization recorded before admitted in Surigao Medical Center. However, the family consulted “quack” doctors when having cough and fever.
Surgical History:
She never had undergone any surgery as said by her mother.
Accidents and Injuries:
Patient has no history of major accidents and injuries.
Allergies and Type of Reaction:
The mother of the patient claimed that she never noticed any allergies on her daughter caused by certain food, drink, and medications.
Medications:
The family uses paracetamol (Tempra Forte) three times a day for fever and herbal medications such as “tawa-tawa, karabo, and bayabas leaves” for cough and other illnesses as a relief.
Family History of Illness:
The grandparents of the patient on both side of her mother are still alive. Her grandmother on father side is hypertensive while his grandfather is diabetic. Her parent has no current health problems as well as her brothers and sisters.
Personal and Social History
Lifestyle:
Personal Habits:
The patient can consume 1 cup of coffee everyday since she was eight (8) years old, as what her mother claimed. She drinks cola sometimes but only in minimal amount about 1 glass. Patient was very fun in playing with her friends and attends school regularly doings school works,
assignments and projects.
Diet:
>Before Hospitalization:
She can consume 1 cup of rice each meal with fish and vegetables as her vian. She can consume 4-5 glasses of water daily. They have meals three times daily and often times have snacks in the afternoon.
>During Hospitalization:
The patient has NGT and all she ate was Pediasure 4 scoops dissolved in 200 mL (1 glass) of distilled water three times a day.
Sleep/Rest Pattern:
>Before Hospitalization:
She usually got asleep around 08:00-8:30 pm and woke up at around 06:00 am, and then gets herself ready for school. She doesn’t have any difficulties in sleeping.
>During Hospitalization:
Patient remained asleep from the day of admission (July 15, 2008) until the next day (July 16, 2008) around 8:30 p.m. Patient slept more in a day than being awake.
Elimination Pattern:
>Before Hospitalization:
Patient urinates 3-4 times a day and she doesn’t have any difficulties in urinating. She defecates once (1) daily in the morning upon taking a bath and she doesn’t have any difficulties in defecating. She sweats much at the back and armpit after she plays.
>During Hospitalization:
The patient defecates on a diaper once a day.
Activities of Daily Living (ADL’s):
>Before Hospitalization:
Patient can perform ADL’s alone and very well. She can
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