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Patient Profile

Rosita Espejo Santos, a 69-year-old Filipino woman, was admitted to the hospital on March 30, 2020 with a final diagnosis of massive ascites secondary to portal hypertension secondary to chronic liver disease. She has a history of hypertension, diabetes, and prior surgeries including a hysterectomy, cholecystectomy, thyroidectomy, and appendectomy. One week prior to admission, she developed abdominal enlargement and occasional chest pain. Upon examination, she was diagnosed with massive ascites secondary to portal hypertension secondary to chronic liver disease.

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Catherine Prado
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188 views3 pages

Patient Profile

Rosita Espejo Santos, a 69-year-old Filipino woman, was admitted to the hospital on March 30, 2020 with a final diagnosis of massive ascites secondary to portal hypertension secondary to chronic liver disease. She has a history of hypertension, diabetes, and prior surgeries including a hysterectomy, cholecystectomy, thyroidectomy, and appendectomy. One week prior to admission, she developed abdominal enlargement and occasional chest pain. Upon examination, she was diagnosed with massive ascites secondary to portal hypertension secondary to chronic liver disease.

Uploaded by

Catherine Prado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Patient Profile

PATIENT NAME: Rosita Espejo Santos

AGE: 69 years old

SEX: Female

ADDRRESS: Brgy. Mira, Bantay, Ilocos Sur

BIRTHPLACE: Brgy. Mira, Bantay, Ilocos Sur

NATIONALITY: Filipino

RELIGION: Roman Catholic

CIVIL STATUS: Married

BIRTHDAY: 3-Jun-39

DATE AND TIOME OF ADMISSION: 30-Mar-20

FINAL DIAGNOSIS: Massive ascites 2º to portal hypertension 2 º to CLD


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PATIENT HISTORY C
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PAST HISTORY Column2 u
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MEDICAL HISTORY: Developed Hypertension which was controlled by medication and Diabetes Mellitus, 10 years ago n
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SURGICAL HISTORY: Hysterectomy 15 years ago, Cholecystectomy 17 years ago, Thyroidectomy 20 years ago, Apendectomy 25 years ago.

MEDICATION: Plendil and Avendia taken 10 years ago

ALLERGIES: No known allergies

INJURIES AND ACCIDENT: N/A

SPECIAL NEEDS: N/A

BLOOD TRANSFUSION: 450 cc of packed RBC; type AB; last July 14, 2008

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PRESENT HISTORY u
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Last May year 2008 patient was admitted at JMC and was diagnosed of having liver cirrhosis. n
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One week prior to admission she developed abdominal enlargement with accompanying occasional chest pain but she didn’t perceived

the need to seek for medical help. Three days prior the admission, her friend who was a registered nurse suggested her to be self examined
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PATIENT HISTORY C
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by a physician. She was diagnosed of having massive ascites 2º to portal hypertension 2 º to chronic liver disease (CLD) and advised to be n
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admitted at JMC.

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