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CASE PRESENTATION
PATIENT HISTORY
GENERAL DATA:
NAME:PC.
AGE:50 ys old.
GENDER:Male.
OCCUPATION:chief officer(ship)
ADDRESS:Bacaca,Davao city.
MARITAL STATUS:married.
DATE OF ADMISSION:16/3/17,9.00AM.
INFORMANT:Patient.
RELIABILITY:85./.
CHEIF COMPLAINTS
:
Bulging in groin region.
HISTORY OF PRESENT ILLNESS
•3 months PTA,patient felt bulging near the scrotum in
the groin.bulging present on the left side
•Patient felt some irritation only during sneezing or
coughing.
•Patient does not allow to do physical examination,but
he reported 0.5cm size of his bulging.
•He doesn’t lift any heavy weight.He was having a
stressful work at the ship.
•Only 2 to 3 hrs of sleep only
• Patient returned from work on april and he is taking
rest until now.
•At present,the patient had an consultation and
diagnosed with inguinal hernia and advised to get
operated.
•Tomorrow morning will be the surgery.
PAST HISTORY
• No childhood illness.
• No history of measles,rubella,mumps,whooping
cough,dengue and rheumatic fever.
• MEDICAL: (-)asthma (-)diabetes (-)HTN
• (-)previous hospitalizations.
• SURGERY:none
• PSYCHIATRIC:none
• Complete immunizations.
• SCREENING TEST:(-)Colonoscopy (-)stool test for
occult blood (-)cholesterol test
FAMILY HISTORY
• Father passed away because of aneurysm.
• Mother alive 78 yrs old.
• No history of hernia in the family.
• No history of diabetes and hypertension in family
members
Personal and social history