I.

Chief Complaint A. The client is JYC complaining of having a continuous fever for several days past and had been vomiting for 4 day with some presence of blood in the vomitus in the last day. B. Character: makirot Onset: 4 days ago Location: Right Hypochondriac Region Duration: Minutes Scale: 10/10 P: isinusukaangkinakain Associated Factors: Fever with vomiting

II.

History of present illness A. The patients historian is his mother and both parents of the patients are reliable. B. The patient is 8 years old, Filipino, male, student, was admitted on September 13, 2011. C. The patient complaints of continuous fever and had several vomitus with presence of blood and had been suffering for 4 days onwards till hospitalization, was given paracetamol by his mother and other remedies like sponge bath, the patient also has pains in the right hypochondriac region of the abdomen, the patient was diagnosed of UTI and was suspected of Dengue Fever Syndrome and is under monitoring.

III.

Past Medical History A. B. C. D. E. F. G. No Major Medical Illness No major surgical illness or complications No past traumas, fractures or lacerations First time admitted to the hospital No current medications only vitamins and supplements until hospitalization No known allergies Fully Immunized (according to mother)

IV.

Pregnancy and Birth History

A. Maternal Health during pregnancy: No excessive bleeding or trauma, does not had HPN, fevers or infection, no illness, medications given was described as pampakapit, does not drink alcohol and does not smoke. B. Gestational age of delivery (TERM) C. Labor and delivery: No fetal distress, NSD, D. Neonatal period: No breathing problems, use of oxygen, no need for intensive care. V. Developmental History A. Milestones Baby: smiling, breast feeding Toddler: rolling sitting slightly walking, crawling, 1st word, toilet training, Childhood: running, riding bike, tricycle, jeepney. B. School Doing great in terms of grades, no specific problems, has been friendly to others ever since. C. Behavior Is patient, no thumb sucking, doesnt complain about nightmares, friendly VI. Feeding History A. Breast or bottle feeding Had been breast feeding, and was also bottle fed, nido was the formula milk and promil, frequency ranges 3-4 times a day B. Solids No problems when first introduced VII. Review of systems A. No recent changes in weight B. Skin and lymph No presence of rashers or allergies, no lumps and bruising, and no bleeding, no pigmentation changes, brown in color and smooth in texture.

C. conscious, normal head shape, no presence of strabismus, conjunctivitis and also has no visual problems, no problems in hearing, no ear infection, no cold or sore throats, no tonsillitis, presence of snoring when sleeping (sometimes), and no epistaxis has been mentioned. D. Cardiac No dyspnea, no cyanosis of any kind, no presence of chest pain, no heart murmors, E. Respiratory No presence of pneumonia or history of it, no bronchitis or wheezing, no chronic cough, and doesnt have history of tuberculosis F. GI: no presence of diarrhea, constipation, vomiting, no jaundice or hematemesis, has a right hypochondriac region pain of the abdomen but as of today was lessen and feeling well, has no appetite for food for 4 days. G. GU: bowel movements is still not present, 1 time of urination, no discharges, quality of urine is dark yellow but has no smell, no infection or edema. H. Muscuskeletal: no presence of joint pains, no swelling, but has fevers with 38 C of temperature. VIII. Family History A. Illness: Has a Family history of high blood, but has no history of strokes, also has Family history of diabetes, no abnormal bleeding or allergy, no asthma and epilepsy. B. Mental retardation is not present in the Family history, no chromosomal problems IX. Social A. Living with his parents and siblings B. His mother is a Teacher C. No problems with family just the fight his parents has.