C.

Review by System and Physical Examination

General Health Survey

Patient reiver is 6 months old male admitted in extension Respi. Pedia ward With a weight of___
with patent IV line hook at the left metacarpal vein of balance multiple maintenance Solution with
5% dextrose regulated at 27cc/ hour. Crackles heared at the posterior chest area heared on
auscultation, weak in appearance and has the vital signs of ________

Area / System Review of Physical Assessment Altered Problem

System Identified
Subjective Inspection Palpation Percussion Auscultation
INTEGUMENT - No No lesions Skin is soft,
ARY history Ginailisan noted, Hair is warm and
of man nako ni equally slightly
chicken siya ug sanina distributed, fair moist, skin
fox maam para color of the turgor have
dili siya ma skin a quick
- Had no kuanan ug recoil
history singot As
of verbalized by
rushes the mother
and
itchiness
 HEAD AND - Had no - Wala Head is (-) masses -No sounds
NECK history paman normococephali and Detected
of head siya c, no lesions lesions,lum -(-) bruit:
Surgery kaagi noted. ps in the thyroid
- Had no ug head
history bukol NECK (-)
of neck sa iang - Midline Tenderness
injuries ulo - lymphnodes (-) Facial
and maam in the neck is resistance
neck non-palpable NECK
abnorm -No lumps
alities -Non tender
-No Bulges
or masses
HAIR AND -No history of - oo akoa ng HAIR
NAILS hair problems ganailcutter -Fair and even
-No history of ug galimpyo hair distributed
alopecia sa iyang kuko -soft and
maam usahay smooth
mang gud kay NAILS
ginaka niya -thin, clean,
ang kamot trimmed nails
and hair
Capillary Refill
test at 1-2 secs
EYES -No history of - muhilak na Pupil is equally -Eyeball is
impaired siya maam round and firmed and
vission basta maka reactive to light non tender
kita ug nurse. and
accommodatio
n.
EARS - No makuratan (-) lesions (-) Palpable
history na siya maam Intact nodes
of ear sa mga kusog Normal shape
 infection na tingog of both ears
s verbalize by No discharge
mother Clean ear lobes
Nose and - Had ang iya -smooth -no tender
Throat history sipon maam Symmetrical
(-) massesp
of kay nay time face
having murag tubig, -nares: oval,
cough mutulo ra ug symmetric with
and klait. clear discharge
colds As verbalized without odor
- No b y the
history mother
of nose
bleeding
or
epistaxi
s