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6]26]11
Cngo|ng Appra|sa|
6]27]11
Cngo|ng Appra|sa|
6]28]11
I nea|th ercept|on] nea|th
Management
A arenL's 8eporL
O -aLal PlsLory uellvered l1 -Iu
aL -P
O ,oLher had compleLe
lmmunlzaLlon durlng renaLal
Check up
O ,oLher dld noL experlence any
problem durlng pregnancy
O Pad regular prenaLal checkup
durlng pregnancy
O 1he prenaLal checkup was done
by Lhelr mldwlfe aL barangay
healLh cenLer
O uld noL smoke and had noL
experlence lllness and had noL
Laken any medlcaLlon durlng
pregnancy excepL lerrous ulfaLe
O regnanL of Lhe flrsL chlld 20
O AdmlLLed prevlously for A8l wlLh
neumonla and AcuLe dlarrhea
O Pas been experlenclng occaslonal
cough and colds ln Lhe pasL year
lf seen Lo have a serlous problem
Lhey have lL consulLed by a
docLor
O 8ouLlne healLh checks have been
made and chlld ls fully lmmunlzed
approprlaLely for age
O lI slLe free of paln redness and
swelllng
O ,oLher descrlbed healLh aL Lhls
Llme Lo be lmprovlng as compared
durlng Lhe day of admlsslon
O ,oLher verballzed uall ra [ud
slya maluya"
O ,oLher verballzed paLumarun
man namu nl slya ug Lambal
kanang gl reslLa sa docLor"
O Chlef complalnL fever and chllls
O 8/l u1l
O ab 8esulL 6/23/112036
8esulL 8eference
W8C 128k/u 43133
Pgb 107g/d 113143
PcL 291 370430
laLeleL 212k/u 130400
ymph 21 2043
,ono 4 010
O lI slLe free of paln redness and
swelllng
O ,oLher verballzed ok naman
sad nl lyang pamlnaw maulaw
lang nl slya mu sLurya"
O een and examlned by ur
8enacla around 930 orders
made erlal Pgb PcL AC
deLecLlon
O ab 8esulLs 6/26/11 2034
8esulL 8eference
W8C 127k/u 43133
Pgb 112g/d 113143
PcL 293 370430
laLeleL 181k/u 130400
ymph 30 2043
,ono 3 010
-eu 61 4073
O lI slLe free of paln redness and
swelllng
O ,oLher verballzed ok na nl sya
dll pareha aLong una nga galuya"
O een and examlned by ur
8enacla around 930 orders
made u/C erlal Pgb PcL AC
deLecLlon
O ab 8esulLs 6/27/11 2032
8esulL 8eference
Pgb 113g/d 113143
PcL 312 370430
laLeleL 182k/u 130400
O IlLal lgns
1363C
8112bpm regular and sLrong
8830cpm regular and efforLless
O 1243 8roughL Lo LreaLmenL room
lIl LermlnaLed lv relnserLed by
-u asepLlcally uslng C24 aL lefL
O ,oLher and faLher does noL
smoke or drlnks alcohollc
beverages
-eu 73 4073
Los 2 06
8aso 0 01
O IlLal lgns
1363C
8116bpm regular and sLrong
8833cpm regular and efforLless
O Ceneral Appearance
8ecelved lylng on bed awake responslve
Lo verbal sLlmull frequenL crylng
resLlessness noLed
kln warm wlLh good skln Lurgor and
moblllLy
Pead nomocephallc dry llps noLed
Lyes parallel clear and brlghL eyeball noL
proLruded pale mucous membranes and
palpebral con[ucLlval
Lars exLernal audlLory canal ls paLenL
free of redness and no forelgn ob[ecLs
noLed
Caplllary reflll of 4sec
Los 3 06
8aso 1 01
O IlLal lgns
1363C
8112bpm regular and sLrong
8830cpm regular and efforLless
O Ceneral Appearance
8ecelved slLLlng on bed awake
responslve Lo verbal sLlmull occaslonally
crylng
kln warm wlLh good skln Lurgor and
moblllLy
Pead nomocephallc dry llps noLed
Lyes parallel clear and brlghL eyeball noL
proLruded plnklsh palpebral con[ucLlval
Lars exLernal audlLory canal ls paLenL
free of redness and no forelgn ob[ecLs
noLed
Caplllary reflll of 3sec
of 28cllcks/mln aL ; no brulL no
Lendreness
CurrenL welghL ls 12 kg
,ouLh ls molsL has falr complexlon has
good moblllLy and Lurgor
,ootb plnkred llps symmeLrlcal no
masses gums and buccal mucosa are
plnklsh and molsL 20 whlLe LeeLh upper
lefL and rlghL mlddle lnclsors have brown
yellow color on enamel hard palaLe ls
plnklshred dome shaped Longue ls aL
mldllne symmeLrlcal plnklsh wlLh ralsed
paplllae moves ln any dlrecLlon floor of
mouLh ls plnklshred molsL wlLh blood
vessels plnk sofL palaLe uvula ls aL
mldllne no enlargemenL of Lonslls
Lendreness
CurrenL welghL ls 12 kg
,ouLh ls molsL has falr complexlon has
good moblllLy and Lurgor
,ootb plnkred llps symmeLrlcal no
masses gums and buccal mucosa are
plnklsh and molsL 20 whlLe LeeLh upper
lefL and rlghL mlddle lnclsors have brown
yellow color on enamel hard palaLe ls
plnklshred dome shaped Longue ls aL
mldllne symmeLrlcal plnklsh wlLh ralsed
paplllae moves ln any dlrecLlon floor of
mouLh ls plnklshred molsL wlLh blood
vessels plnk sofL palaLe uvula ls aL
mldllne no enlargemenL of Lonslls