system Constitutional symptoms

patient has hyperthermia with the temperature of 39.1oC, RR of 25cpm, PR of 78bpm and a BP of 140/100mmHG, but she denies any chills, night sweats, and reports that theres no any significant changes in her weight. She has no dermatologic complaints at this time and specifically denies any rash and significant pruritus. Eyes medyo nanlalabo na yung paningin ko at minsan sumasakit din yung ulo ko as verbalized by the patient when asked if there are some changes in her vision. Ears, Nose, throat The patient verbalize the following : (ENT) maayos pa ang aking pandinig , malinaw ko pang naririnig yung mga sinasabi sa akin nahihirapan akong humi nga kapag nakahiga ako kaya mas gusto kong nakaupo sumasakit yung lalamunan ko dati perohindi ko naman iniinuman nang ano mang gamot Cardiovascular kapag umuubo ako ,sumasakit yung dibdib ko sa kaliwang bahagi umaabot hanggang sa likod as verbalized by the patient Respiratory The patient has dyspnea on exertion but denies shortness of breath as she verbalize : nahihirapan akong huminga pero hindi naman sa punto na gahol na ko sa paghinga o wala na kong nalalanghap na hangin. Gastrointestinal nakakakain naman ako ng maayos dahil may gana kong kumainat madali namang natutunaw kasi nadudumi ako, wala rin naman sa lahi naming nagkasakit sa bituka. The patient verbalized when we asked about her appetite and history of colon disease. Genitourinary nakaka ihi namanako ng maayos,wala kong nararamdaman namasakit, mahapdi o mainit kapag naiihi ako as verbalized by the patient. Musculoskeletal hindi naman masakit yung katawan ko ayaw ko lang ng lagging nakahiga kasi nahihirapan akong huminga as verbalized by the patient. Integumentary hindi naman ako nagkaka rashes eh at di din naman madaling magkasugat as verbalized by the patient. Neurological lumalabo yung paningin ko , sumasakit din yung ulo ko , pero hindi pa naman namamanhid kahit anong parte ng katawan ko,nakaka pag salita at nakakaintindi pa ko ng mga bagay na sinasabi sa akin o tinatanong di lang ako makasagot ng mahaba kasi nahihirapan akong huminga as verbalized by the patient. Psychiatric hindi naman nagbago yung oras o haba ng tulog ko sleep pattern hindi naman ako nalulungkot depression wala naman sa isip ko yang takot- anxiety Endocrine wala akong goiter pero meron akong diabetes, kaya siguro lagi akong nagugutom (polyphagia) at di din naman nagbabago yung timbang ko. As verbalized by the patient. Hematologic/ The patient has no history of anemia, easy bruising, bleeding or clotting lymphatic disorder. As she verbalized hindi naman ako namumutla at di din naman ako madaling magka pasa o masugatan. Allergic/immunologic wala akong allergy sa ano mang bagay basta bigla na lang akong nahihirapan huminga as verbalized by the patient when we ask her if she had allergies that cause or trigger her disease that may result of difficulty of breathing.