PAST HEALTH HISTORY

Patient Jedah Samut, 34 years old multigravida woman and is now in her third pregnancy.

Year 2012, she had her first pregnancy but resulted to a spontaneous abortion at 18 weeks.
Year 2013, she was hospitalized due to surgery. She claimed that her gallbladder was removed
because of gallstones. Year 2015 of May, she had her second pregnancy which is a female
infant at 40 weeks gestation with good APGAR score and was delivered via NSVD and was
mentioned that the child is doing well.

Patient has allergy to shrimp and only takes Cetirizine 10mg whenever needed as per her
doctor's order. She was able to complete all of her immunization and has recently received a
dose of tetanus toxoid for her third pregnancy last December of 2020 and is due for her TT2 this
month.

During her teenage years, she had her first menarche at 13 years old. Patient had a regular
menstruation which falls from 28-30 days cycle lasting 3-5 days, in moderate to heavy flow. She
would use up to 6-8 pads a day and is soaked in the first 3 days and moderate to light flow in
the following days. Her last menstrual period was on June 15, 2020.

PRESENT HEALTH HISTORY

Prior to patient being seen for prenatal care at 30 weeks gestation, her weight is 170 pounds
and her blood pressure is 130/80. Uterine size is appropriate for gestational age as estimated.

Though she arrived with a pale look, tired and sleepy. Patient is hypothermic and tachycardic.
Patient stated "Nag anha ko unta karon diri kay para magpa-prenatal lang, pero nalipong man
ko atong paingon ko diri uy mao naka-desisyon ko mag pa admit nalang. Karon rako kasulay
nalipong while buntis." She also stated that once in a while, difficulty of breathing is experienced
especially when she is lying flat on bed and doing household activity. Palmar Erythema noted.
The patient seldom eats green-leafy vegetables yet like to consume fried chicken from a known
food chain store. Patient is constipated, hemorrhoids are present. Urine dipstick result shows 3+
glycosuria and negative ketones.

Then she was referred to admit under the service of Dr. Bravo. Based on lab results it was ruled
out that the patient has Gestational Diabetes Mellitus and Candida Infection (vaginal).