Patient Profile

PATIENT NAME: Rosita Espejo Santos

AGE: 69 years old

SEX: Female

ADDRRESS: Brgy. Mira, Bantay, Ilocos Sur

BIRTHPLACE: Brgy. Mira, Bantay, Ilocos Sur

NATIONALITY: Filipino

RELIGION: Roman Catholic

CIVIL STATUS: Married

BIRTHDAY: 3-Jun-39

DATE AND TIOME OF ADMISSION: 30-Mar-20

FINAL DIAGNOSIS: Massive ascites 2º to portal hypertension 2 º to CLD

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MEDICAL HISTORY: Developed Hypertension which was controlled by medication and Diabetes Mellitus, 10 years ago n
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SURGICAL HISTORY: Hysterectomy 15 years ago, Cholecystectomy 17 years ago, Thyroidectomy 20 years ago, Apendectomy 25 years ago.

MEDICATION: Plendil and Avendia taken 10 years ago

ALLERGIES: No known allergies

INJURIES AND ACCIDENT: N/A

SPECIAL NEEDS: N/A

BLOOD TRANSFUSION: 450 cc of packed RBC; type AB; last July 14, 2008

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Last May year 2008 patient was admitted at JMC and was diagnosed of having liver cirrhosis. n
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One week prior to admission she developed abdominal enlargement with accompanying occasional chest pain but she didn’t perceived

the need to seek for medical help. Three days prior the admission, her friend who was a registered nurse suggested her to be self examined
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by a physician. She was diagnosed of having massive ascites 2º to portal hypertension 2 º to chronic liver disease (CLD) and advised to be n
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admitted at JMC.