You are on page 1of 3

Nurse: Good morning maam,

Mother: doc na balaka ko sa ako anak nagkalibanga cya nia ga luya mo mata ra og pukawon nko cya
Nurse: okay maam mag Physical examination ko nmo dali2 pra ka adto naka ni doc
PHYSICAL EXAMINATION”: HR, RR, T, O2, WT, L, HC…
Nurse: maam unya nko continue sa uban PE nmo kay nagluya najud imo anak adto na kay doc. (nurse
hands over the information record to doc..)

EMERGENCY:
Mother: doc na problema ko sa akong anak nag kalibanga mn nia ga luya cya
Doctor: ika pila nani ka adlaw eyahang pagkalibanga?
Mother: 
Doctor: naay dugo pagkalibang nia?
Mother: 
Doctor: (General observation: check for dehydration look for sunken eyes)
Doctor: (confirm) ingani najud na eyang mata sauna pa nga wla pa cya nagkalibanga?
Mother: nag ilawm na cya pag kalibanga nia
Doctor: (get a cup of water or spoon) ako testingan kung gi uhaw cya ipa inom dw nia maam
Mother:( lets him drink but doesnt drink bec lethargic) wla mn cya ni inom doc
Doctor: palihug ipahigda cya sa examine table ipa lie flat eya likod nia eya kamot naa sa kilid nia guniti
lng cya aron di mo lihok.
Mother: okay doc no problem 
Doctor: (pinch the abdomen) skin goes back slowly
Doctor records the results.. 
Doctor: nurse sitti palihug ko kuha sa chart, thank you!
Nurse: here doc, (handle the chart to doctor)
Doctor: naa cyay acute diarrhea kay 3 days pa og severe dehydration tungod kay lethargic, sunken eyes,
skin goes back slowly when pinch. 

Doctor treats with IV fluids immediatly


Doctor proceeds to history taking with mother: 

Doctor: murag ni arang2 na imong anak maam mag ask ko sa imohang general information nmo.

doctor: Unsay ngalan sa bata nay, edad, bae ba sya o laki, pila ka weeks sya sukad tong gipanganak
nimo, unsay religion, address, birthday, and place of birth?

Mother: ang pangalan sakong baby kay Gail Alonso, 4 months old, baby girl, 38 weeks ni sia sukad
gipanganak nako. UCCP among religion. Naa mi gapuyo karon sa Talamban, Cebu City. Natawo ni sia
atong September 1, 2021 dinhy sa Vicente Sotto. 

doctor: Unsay panagaln sa iyahang papa, og trabaho?  and ikaw ma’am unsay panagalan nimo og
trabaho?. Si baby GA lng ba ang imohang anak? Or pila tanan imong anak?

Mother : ako si Maria Clara Alonso, teacher og akong bana si Jake Alonso usa pud ka teacher. Only child
panamo ni si baby. 

NUTRITIONAL (Feeding) HISTORY


Doctor: nag breastfeed ba imong anak or formula milk ra cya?
Mother: breastfed ni akong baby sa kadtong pag-anak hantod pag 2 months dayun pag 3 months ani nia
gigatas na ni nako og formulated milk.

Doctor: what type of formula milk?

Mother: Enfamil peru nag Bona nako karon ky gatipid nasad pud mi kay tungod sa nahitabo karon apil mi
sa  naapektuhan sa bagyu  atong niagy doc. 

IMMUNIZATION HISTORY
Doctor: na bakunahan na cya maam? Og unsay mga bakuna nga naturokan?
Mother: Yes doc, sa akong pagkahinumdum navaccinan ni siag Hep B, BCG. Naturokan sad ni siag Vit. K
dayun napahiran sad ni siag erythromycin eye ointment.

PRENATAL HISTORY:

NATAL HISTORY:

POSTNATAL:

SOCIAL AND FAMILY HISTORY:

REVIEW OF SYSTEM
Doctor: In this next part, I'm going to ask you a series of questions about the health of your baby. It might
seem like a lot, but the questions are important and I want to make sure I'm being thorough.
 
General: ask about weight, temperature— 
Mother: gitimbang nako sia atong niagy doc kay naa mn mi timbagan ky 3.6 kilos dayun
ginacheck nako iyang temperature 38 kapin days na sia gahilanat doc
 
Skin: Ask about rashes, hives, problems with hair, skin texture or color, etc.
            Mother: galuspad siya doc 
 
HEENT: ask about HEENT
            Mother: galalom iyang mata doc
 
Respiratory: ask about it
            Mother: wala ra doc
Cardio: ask about it
            Mother: wala doc

Gastrointestinal: ask about it


            Mother: gakalibanga tapos basa kayu iyang ikalibang doc 
 
Reproductive system: ask about it
            Mother: no doc 
 
Urinary system: ask
            Mother: no doc
 
Peripheral Vascular: ask
            Mother: no 
 
Musculoskeletal system: ask
            Mother: no doc

Endocrine system: ask


            Mother: no
 
Doctor: c nurse sitti na mag buhat og physical examination sa imong anak

Nurse: (PHYSICAL EXAMINATION)


HEENT:  
C/L: 
CVS: 
ABDOMEN: 
GENITALIA: 
EXT:
CNS:

You might also like