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Victoria, Ramon Carpio

Victoria Ramon Carpio was admitted to the hospital on September 6, 2023 with a diagnosis of pneumonia. They developed a fever, headache, and lower extremity weakness hours before admission. Laboratory tests and diagnostic imaging were performed. During their hospital stay, the patient received intravenous fluids, antibiotics, and other medications. They underwent a procedure to insert a feeding tube. By the last day of their hospitalization, the patient had stabilized and was discharged with medications and instructions to follow up as an outpatient.

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169 views2 pages

Victoria, Ramon Carpio

Victoria Ramon Carpio was admitted to the hospital on September 6, 2023 with a diagnosis of pneumonia. They developed a fever, headache, and lower extremity weakness hours before admission. Laboratory tests and diagnostic imaging were performed. During their hospital stay, the patient received intravenous fluids, antibiotics, and other medications. They underwent a procedure to insert a feeding tube. By the last day of their hospitalization, the patient had stabilized and was discharged with medications and instructions to follow up as an outpatient.

Uploaded by

anailezorgen123
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CLINICAL ABSTRACT

VICTORIA , RAMON CARPIO


Name of Patient: ________________________________________________ Admission No.: _________________________
HAGONOY . BULACAN
Address:_______________________________________________________ Date:___________________________________
9/19/2023
9/18/2023
Date Admitted:_________________________________________________
9/6/2023 Date Discharge:_______________________
DR. GUIA DACUMOS
Attending Physician:______________________________________________________________________________________
PNEUMONIA
Admitting Diagnosis:______________________________________________________________________________________
Final Diagnosis:__________________________________________________________________________________________
PNEUMONIA, ASPIRATION, HIGH RISK; S/P CVD INFARCTION, TYPE 2 DM , HCVD , HYPERTENSION,

NPCAA, CHEMOSIS OD
Brief Clinical History and Pertinent P.E.:
____________________________________________________________________________________________________________

____________________________________________________________________________________________________________
FEW HOURS PRIOR TO ADMISSION, PATIENT DEVELOPED FEVER, HEADACHE AND LOWER EXTREMITY WEAKNESS
WHICH PROMPTED CONSULT AND SUBSEQUENT ADMISSION.
____________________________________________________________________________________________________________

Laboratory Findings:( Including ECG, XRAY and other Diagnostic Procedures)


SEE ATTACHED
____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Course in the Ward: (Including medication)


PATIENT ADMITTED, VENOCLYSED WITH PNSS, STARTED ON PIPTAZ, COLCHICINE AND NAC. ON 2ND HD BUDESONIDE
____________________________________________________________________________________________________________
LEVOTHYROXINE WAS STARTED. ON 3RD HD WAB UTZ DONE. COMBIFLEX , AND MOXIFLOXACIN STARTED.
____________________________________________________________________________________________________________
ON 4TH HD PATIENT STARTED ON CLONIDINE, PREGABALIN , TRAJENTA, AND KALIUM DURULE. ON 5TH HD
____________________________________________________________________________________________________________
ETORICOXIB, AND GABAPENTIN STARTED. ON 8TH HD , COLCHICINE STARTED. ON 9TH HD PATIENT UNDERWENT
_ EDG PEG INSERTION. ON 10TH HD PATIENT STARTED ON TRAMADOL. ON LAST HD PATIENT STABLE. SENT HOME
WITH MEDICATIONS.
Disposition(Indicate home medication, special instruction and follow up)
____________________________________________________________________________________________________________
MAY GO HOME
____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

___________________________________________________________________________________________________________

ELIANA S. GERZON
9/19/2023
_________________ _____________________
0154057

Date Accomplished Resident In-charge

CAPITOL VIEW PARK SUBD. BARANGAY BULIHAN CITY OF MALOLOS, BULACAN


Telephone No. 816- 7698
CAPITOL VIEW PARK SUBD. BARANGAY BULIHAN CITY OF MALOLOS, BULACAN
Telephone No. 816- 7698

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