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Case Study [Acute Pyelonephritis] FINAL

Case Study [Acute Pyelonephritis] FINAL

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Published by: ian-movilla-7517 on Dec 16, 2009
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09/21/2013

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Gordon CollegeCollege of Nursing
CASE STUDYAcute pyelonephritis
Group A3
Leader:Kabigting, AlvinMembers:Laruta, Anna GraceLayug, Dexteria MerwinLegrama, Mykel MaeMiguel, Marie TheaMovilla, IanMusni, JoshuaNacor, Sherry MaeNajera, RhevaObida, Jescel Mae
 Table of Contents
 
I.IntroductionII.History Takinga.Demographic Datab.Review of Systemc.Physical AssessmentIII.Anatomy and PhysiologyIV.PathophysiologyV.Laboratory and Diagnostic ExaminationsVI.Drug StudyVII.Nursing Care PlanVIII.Discharge PlanIX.ConclusionX.Recommendation
IntroductionHistory Takinga.Demographic Data
 
1.Patient’s profile
Name:
Patient A
 Age:
20 y/o
Sex:
Female
 Address:
Purok #@ Calapacuan, Subic, Zambales
Civil status:
Married
Religion:
Roman Catholic
2.
Chief Complaint:
Fever
Date of Admission:
August 30, 2009; 6:30 pm
3.History of present illness
 
2 days PTA, pt. experienced undocumented high grade fever.No other associated signs and symptoms. Sought consult,hence admitted
PNCU:
LHC Calapacuan
LMP:
February 15, 2009
 AOG:
28
EDC:
Nov. 22, 2009
Menarche:
14 y/o
Coitarche:
19 y/o
Intensity:
Regular
Duration:
7 days
 Amount:
2 pads fully soaked
Symptoms experience:
(-) dysmenorrhea
# of sexual partner:
1
STD:
None
4.Past Medical History
>No known allergy to any food and drugs
(-)HPN, (-)DM, (-)Asthma
Non-smoker
Non-alcoholic beverage drinker
5.Personal history6.Family History
(+)HPN
(-) CVD
(+) Asthma
(-) blood dyscrasia
(-) DM

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