Name: Michelle Tandora Fernandez Address: Prk. 10 Emerald St. Doa Salud Subd.

, Sasa, Davao City Birthday: January 13, 1985 Age: 28 years old Sex: Female Occupation: Call Center representative Rm-Bed: 3017-1/ Semi-private Religion: Catholic Civil Status: Married Admission date: 03/03/2013 Admission time: 07:52 AM Admitting physician: Yasmin Grace Yap Lao, M.D Admission Diagnosis: Acute Gastroenteritis with moderate dehydration Final Diagnosis: Acute Gastroenteritis with moderate dehydration Surgical procedure: NONE Drugs 3/13/2013 Metoclopramide (Plasil) 1 amp IVTT q 8 hours as needed for vomiting HNBB 1 amp IVTT q 8 hours as needed for crampy abdominal pain 3/04/2013 Ciprofloxacin (ciprobay) 500 mg 1 tab STAT 3/13/2013 Omeprazole 40 mg IVTT now Cloprimed 1 amp IVTT now Buscopan 1 amp IVTT now

28 G1P1 (1001) CC: Vomiting, LBM PMH: non-hypertensive, non-diabetic S/P: CS x 1 for fetal distress (+) allergy to ibuprofen, celecoxib, mefenamic acid, ketorolac, meloxicam No food allergy PSHx: non-smoker, non-alcoholic beverage drinker HPI: patient was apparently well until few hours PTA when she noted sudden onset of Crampy abdominal pain, 8/10 in severity, associated with LBM of nonsmelling stools x 4 episodes and vomiting x 4 episodes. Persistence prompted this admission. PE: examined pt. conscious, coherent, in acute pain VS within normal AS, PPC, dry lips and tongue Clear breath sounds Normal cardiac rate and rhythm Flabby abdomen, hyperactive BS, soft and no tenderness Full pulses Impression: same as diagnosis

Urinalysis EXAMINATION / RESULT / UNIT / RANGE / RESULT / REMARKS U/A color YELLOW U/A character CLOUD U/A reaction 5.5 U/A spec. gravity 1.030 U/A albumin TRACE U/A sugar (-) U/A others WBCUL 11 /ul WBCHPF 2 /hpf RBC UL 3 /ul RBC HPF 1 /hpf ECUL 20 /ul ECHPF 4 /hpf CASTUL 0 /ul BACTUL 121 /ul BACTHPF 22 /hpf U/A remarks U/A pus cell /hpf U/A RBC /hpf U/A CAST /lpf U/A CRYSTAL U/A MUCUS THREAD U/A SQUAMOUS U/A RENAL BACTERIA

0-17 0-3 0-11 0-2 0-17 0-3 0-1 0-278 0-50

H H

Legend : THE SAME (=)

CBC Hgb 135 Hct .42 Wbc 22.80 Seg. .880 Lymphocytes .060 Monocytes .050 EOSINOPHIL .010 BASOPHIL .000 ABSOLUTENEUTROPHIL 20.29 ABSOLUTE LYMPHOCYTE .87 = MONOCYTE 1.2 = EOSINOHIL .25 ABSOLUTE BASOPHIL .21 RBC 4.62 MCV 92 MCH 29.20 MCHC 316 RDW 11.70 MPV 7.30 PH count 413.00 g/l 10s9/l 120-140 .37-.45 5-10 .55-.65 .35-.45 .06-.12 .02-.04 0-0.020 1.8-7.8 1.0-4.8 0-.80 0-.45 0-.020 4.5-5.0 80-97 27-31.2 318-354 11.5-14.5 2-20 1470-440

H H L L L H L H H

10s9/l = = = = 10s12/L fl pg fl 10s9/l

STOOL 1 Light brown,watery STOOL 2 (=) STOOL 3- brown, watery No ova/ parasite seen