Age: 3 years old Sex: Male Address: Catbalogan, Samar Birthdate: August 20, 2006 Birthplace: Catbalogan Mother’s Name: Marissa Abalos Father’s Name: Jojo Abalos Religious Preference: Roman Catholic Chief Complaint: (+) pallor, dyspnea, abdominal pain Physical Examination: Pale, abdomen (+) tenderness in deep palpation Tentative Diagnosis: Hypertension, Anemia Principal Diagnosis: Acute Poststreptococcal Glomerulonephritis History of Past Illness:
S.O. stated “Dida han Dec. 25, nakaka-oro pa it
akon anak, pero dida han Dec. 26 abot Jan. 26, wara na paka-oro an akon anak. Amoadtonagpatambalan kami kay nabuyagan man adto hiya. Nag-alay na kami hin mga manok pero waray la ngahaw mag-upay, salit gin-admit namon ngadi ha ospital kay 1 month na waray pakaka-oro an bata. Maluya na ngan nagwawala na kay masakit duro it iya tiyan.” Past History: Childhood Ilnesses: Upper Respiratory Tract Infection Childhood Immunizations: Complete
Family History of Illness: Leukemia, Cancer of
the Bone
Lifestyle: Diet: Mostly fish and vegetables Admission: Date: 01/26/2010 Time: 08:15 am
Admitting Physician: Dr. Catalan
Exam Requested: Abdomen Supine and Upright X-ray No.: 36684 Requesting Physician: Dr. Mabulay ROENTGENOGRAPHIC REPORT Abdomen upright/flat: Non-dilated bowel loops. No differential air fluid levels. No intraabdominal calcification or radiopaque density noted. Intact psoas muscles outline. No subdiaphragmatic air collection noted. Normal osseous structures IMPRESSION: Non-obstructive bowel pattern other as described above.