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I.
Biographic Data
Name: PPQ Address: Las Pinas City Age: 72 years old Gender: Female Religious Affiliation: Roman Catholic Marital Status: Married Occupation: None Chief Complaint: Blurred, cloudy and dry eyes Provisional Diagnosis: Cataract Attending Physician: Dr. Briones
II.
Nursing History
Childhood Illness
The patient said that she had measles and chicken pox when she was a child. The patient said that she is not completely immunized.
Allergies
According to the patient she has allergies to bagoong and when it comes to medications, she doesnt have allergies.
Hospitalizations The patient said that she had ligation during the 1960s.
Medications used or currently taken Carbidilol Caltrate (Calcium Supplement) Mydriatic eye drops Lidocaine Bupivicane Alcaine Trypan Blue Nevanac Ciloxan
Foreign travel The patient said that she went to US but cant recall the date..
B. History of Present Illness The patient complained of blurred, cloudy and dry eyes last September 13 so she decided to went to the hospital to have her eyes checked.