ultrasound showed left adnexal mass, suspicious for ectopic pregnancy, mild hydrosalpingitis. Dueto these findings, the patient was advised for admission, hence admitted.
PAST MEDICAL HISTORY
The patient verbalized to have been previously hospitalized at Sto. Nino Hospital for her completion curettage and named no other succeeding condition necessitating hospitalization apartfrom her present admission at Saint Louis University - Hospital of the Sacred Heart. She alsoclaimed to have no existing allergies to food and drugs and has had no previous intake of maintenance drug for any serious health complication.Furthermore, she has had no history of ovarian carcinoma, dysfunctional uterine bleeding,myoma, Hydatidiform mole, pelvic inflammatory disease, cervicovaginitis, or polycystic ovariansyndrome.
FAMILY MEDICAL HISTORY
The patient claimed to have no existing history of heredofamilial disease conditions suchas hypertension, cerebrovascular diseases, asthma, diabetes mellitus, cancer, peptic ulcer disease, hyperthyroidism, or arthritis. She has no family member with an existing contagiousdisease such as with pulmonary tuberculosis.
COURSE OF CONFINEMENT
This nursing care plan presents the case of Mrs. M. T. M., 42 year-old female, Filipino, aRoman Catholic, married, born on September 15, 1965, a resident of San Vicente, Baguio City,with a chief complaint of flank pain and vaginal bleeding. This was her second hospitalization, buthad been admitted for the first time in Saint Louis University - Hospital of the Sacred Heart lastJune 13, 2008 at 11:10 am by Dra. Catalan and Dra. Bibat, with an impression diagnosis of
Adnexal Mass, Left, to consider ectopic pregnancy, G
The patient was admitted with the following diagnostic tests: hematology dated June 11,2008; complete blood count dated June 11, 2008; urinalysis dated June 11, 2008; whole abdominalsonogram dated June 11, 2008; and a specimen histopathology that had been reported last May18, 2008.During the second day of hospitalization, June 14, 2008, the patient had undergone thefollowing operations: Salpingectomy, Elective Appendectomy both with duly accomplished consentforms with proper pre-operative preparation.