045 Admiral Village, Talon III, Las Piñas City

SCHOOL OF NURSING

SUMMARY OF ABNORMAL FINDINGS

VITAL NUTRITIONAL VISUAL SKIN/HAIR/ EYES/EARS

THROAT
SIGNS STATUS ACUITY NAILS NOSE/MOUTH
/ NECK

I D E
N
M E N
A
P N L
S
A T A
DATE OF ERROR OF A
GRADE AND SECTION / C A R
PHYSICAL A. UNDERWEIGHT REFRACTION L
T L G
EXAMINA-
NO. OF STUDENTS EXAMINED E E
TION ALLERGY NITS D
HEART A. A. RIGHT D C D
/ / I
RATE B. OVERWEIGHT
B. EYE LESIONS LICE S A
C R T
C
B. LEFT E R O
H
R I N
C. OBESE EYE A
U E S
R
M S I
G
E L
E
N S

NO. OF CASES
A-2
B-0 A-7
Boys – 10 0 0 0 0 4 8 1
GRADE II– Saint C-3 B-8
Sept. 24,
Margaret of
2019 A-2
Scotland A-6
Girls - 8 0 B-1 0 1 1 4 5 0
B-7
C-1
GRADE AND SECTION : GRADE II – Saint Margaret of Scotland
DATE OF PHYSICAL EXAMINATION :

NAME OF STUDENT FINDINGS RECOMMENDATION/S

BOYS:
For referral to an Optometrist / Ophthalmologist for further evaluation and management
Error of Refraction: w/o corrective lens: OD=20/15;
1. AGUJA, Charles Jedreck C. of decreased visual acuity of the left eye (OS); For referral to a Dentist Re: Dental
OS=20/25; Dental Carries
carries
Error of Refraction: With corrective lens: OD=20/70; For referral to an Optometrist / Ophthalmologist for further evaluation and management
2. AMANO, Jhero Nash L.
OS=20/70; Dental Carries of decreased visual acuity of both eyes (OU); For referral to Dentist re: Dental Carries
For referral to an Optometrist / Ophthalmologist for further evaluation and management
Error of Refraction: OD=20/40; OS=20/20; Nasal Discharge;
3. BAUTISTA, Kirby T. of decreased visual acuity of the right eye (OD); For referral to ENT doctor Re: Nasal
Dental Carries
discharge; For referral to a Dentist Re: Dental carries
For referral to an Optometrist / Ophthalmologist for further evaluation and management
4. CALALIN, Chrysander P. Error of Refraction: OD=20/50; OS=20/50
of decreased visual acuity of both eyes (OU)
5. DE ALCA, Gabriel Elijah A. No significant findings
For referral to an Optometrist / Ophthalmologist for further evaluation and management
6. GARBIN, Fredrique C. of decreased visual acuity of the left eye (OS); For referral to ENT doctor re: Impacted
cerumen
7. PO, Kalebb Ivan Nasal discharge; Impacted cerumen For referral to ENT doctor Re: Nasal discharge and Impacted cerumen
8. SANTIAGO, Alexander Ryan C. Nasal discharge; Dental carries Increased fluid intake; Take Vitamin C; For referral to a Dentist Re: Dental carries
9. YOUNG, Dewey G. No significant findings
10. REPORS, Jan Muhammad R. Nasal discharge; Enlarged tonsils Increased fluid intake; Take Vitamin C; For referral to ENT Re: Enlarged tonsils
GIRLS:
1. CUSTADO, Shane Ashley G. No significant findings
2. DE GUZMAN, Elisha Margaux G. Nasal discharge Increased fluid intake; Take Vitamin C
3. ESTENZO, Charleigh T. Nasal discharge Increased fluid intake; Take Vitamin C
Error of Refraction: With corrective lens: OD=20/40; For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lenses; For
4. JAVIER, Sofiia Venice F.
OS=20/70; w/o corrective lens: referral to ENT doctor re: Impacted cerumen
Error of Refraction: With corrective lens: OD=20/50;
For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lenses; For
5. MARIANO, Keira Sophia R. OS=20/40; w/o corrective lens: 20/200; Impacted cerumen;
referral to ENT doctor re: Impacted cerumen; For referral to Dentist Re: Dental carries
Dental carries
Error of Refraction: With corrective lens: OD=20/50; For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lens; For
6. PLAZUELA, Wreignalee Anne f.
OS=20/50; w/o corrective lens: 20/200; Nasal discharge referral to Dentist Re: Dental carries
7. SANUSI, Sabreen Cayleen M.
For referral to an Optometrist / Ophthalmologist for further evaluation and management
Error of Refraction: OD=20/50; OS=20/25; Impacted
8. TALAY, Zandra Zakiah M. of decreased visual acuity of the right eye (OD); For referral to ENT doctor re: Impacted
cerumen
cerumen

Reviewed by:

ROY S. QUITO, MSN, RN

Clinical Instructor

GRADE AND SECTION : GRADE II – Saint Margaret of Scotland

DATE OF PHYSICAL EXAMINATION :
 NAME OF STUDENT FINDINGS RECOMMENDATION/S
BOYS:
Error of Refraction: With corrective lenses: OD=20/50;
1. AGUJA, Charles Jedreck C. For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lens
OS=20/40; w/o corrective lens: OD=20/200; OS=20/100
2. AMANO, Jhero Nash L. Nasal discharge Drink plenty of fluids and fruits; take Vitamin C
For referral to Pediatrician for further evaluation and management of increased Pulse
3. BAUTISTA, Kirby T. Increased Pulse Rate (Tachycardia)
Rate
For referral to an Optometrist / Ophthalmologist for further evaluation and management
4. CALALIN, Chrysander P. Error of Refraction: OD=20/40; OS=20/20
of decreased visual acuity of the right eye (OD)
5. DE ALCA, Gabriel Elijah A. No significant findings
For referral to an Optometrist / Ophthalmologist for further evaluation and management
6. GARBIN, Fredrique C. of decreased visual acuity of the left eye (OS); For referral to ENT doctor re: Impacted
cerumen
7. PO, Kalebb Ivan Nasal discharge; Impacted cerumen For referral to ENT doctor Re: Nasal discharge and Impacted cerumen
8. SANTIAGO, Alexander Ryan C. Nasal discharge; Dental carries Increased fluid intake; Take Vitamin C; For referral to a Dentist Re: Dental carries
9. YOUNG, Dewey G. No significant findings
10. REPORS, Jan Muhammad R. Nasal discharge; Enlarged tonsils Increased fluid intake; Take Vitamin C; For referral to ENT Re: Enlarged tonsils
11. TOLEDO, Kim Nelson C. Nasal discharge; Enlarged tonsils For referral to ENT Re: Enlarged tonsils
12. VILLANUEVA, Alfred Josh V. Nasal discharged Increased fluid intake; Take Vitamin C
For referral to an Optometrist / Ophthalmologist for further evaluation and management
13. YUMOL, Error of Refraction: OD=20/40, Nasal discharge
of decreased visual acuity of the right eye (OD)
GIRLS:
1. ARIENDA, Anniah Vhielle M. No significant findings
2. DADO, Marie Claire G. Nasal discharge Increased fluid intake; Take Vitamin C
3. GACITA, Irah Joy M. Nasal discharge Increased fluid intake; Take Vitamin C
Error of Refraction: With corrective lens: OD=20/40; For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lenses; For
4. HERNANDEZ, Kate Andrea P.
OS=20/70; w/o corrective lens: referral to ENT doctor re: Impacted cerumen
Error of Refraction: With corrective lens: OD=20/50;
For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lenses; For
5. LISO, Ayana Juliana S. OS=20/40; w/o corrective lens: 20/200; Impacted cerumen;
referral to ENT doctor re: Impacted cerumen; For referral to Dentist Re: Dental carries
Dental carries
Error of Refraction: With corrective lens: OD=20/50; For referral to an Optometrist / Ophthalmologist Re: Adjustment of corrective lens; For
6. LOZANO, Angela Mae S.
OS=20/50; w/o corrective lens: 20/200; Nasal discharge referral to Dentist Re: Dental carries
7. MANARANG, Erica C.
For referral to an Optometrist / Ophthalmologist for further evaluation and management
Error of Refraction: OD=20/50; OS=20/25; Impacted
8. SARINO, Nicole A. of decreased visual acuity of the right eye (OD); For referral to ENT doctor re: Impacted
cerumen
cerumen

Reviewed by:

ROY S. QUITO, MSN, RN

Clinical Instructor