Académique Documents
Professionnel Documents
Culture Documents
MEDICINE PLENARY
Elardo, Salvatore
Gulla, Cloyd
Magnaye, Rechelle
Mambucon, Joeffrey
I. GENERAL DATA
VII. OB HISTORY
❏ menarche at 11 years old and had menopause at 49 years old
❏ OB score is G5P4 (4014)
❏ She has regular menstrual period that usually last for 3 days.
❏ Cesarean delivery three times
❏ With history of eclampsia
VII. REVIEW OF SYSTEMS
Pertinent:
GENERAL SURVEY:
HEAD AND NECK – Unremarkable: Patient has black hair. She has symmetrical skull and facial
symmetry
EARS
ABDOMEN
- Globular, symmetrical; (+) surgical scar on the midline, hypogastric area, below the umbilicus; (-)
masses
- *Succussion splash: (+); CVA tenderness: (-)
EXTREMITIES
The patient was awake, her speech was normal, and she was
cooperative with the examiner. She is oriented to time, place and person.
She was able to recall remote, recent, and immediate memory. She
is well informed, able to calculate and has appropriate judgment.
Differential Diagnosis Rule in Rule out
2. UNCONTROLLED HYPERTENSION
a. Chest Radiograph
- Essential in the diagnosis of CAP,
assessing severity, differentiating
pneumonia from other condition, and
in prognostication
- a new parenchymal infiltrate remains
the reference diagnostic standard of
pneumonia
a. Microbiologic studies
- Low risk CAP: optional
- Moderate and high risk CAP: blood
culture and GSCS with antibiotic
sensitivity tests or respiratory
specimens should be done
CASE DISCUSSION: HYPERTENSION
- 2 or more elevated readings on at least 2 clinical visits over a period of one to
several weeks
- Classification:
MANAGEMENT: UNCONTROLLED HYPERTENSION
Management:
REFERENCES:
● Harrison, T.R. (2015). In Kasper, D (Ed), Harrison's Principles of Internal
Medicine . New York, USA: McGraw Hill Education
● Papadaki, M. A., & McPhee, S. J. (2016). CURRENT Medical Diagnosis &
Treatment (55th ed.). New York City, NY: McGraw-Hill Education;.
● Simon H. (2014). Health guide: Choledocholithiasis, Prognosis and
Complications. New York City, NY, USA: A.D.A.M. American Accreditation
HealthCare Commision. Retrieved July 6, 2016.
http://www.nytimes.com/health/guides/disease/choledocholithiasis/prognosis-
and-complications.html
●