Nursing Health History

Biographic Data:

Name: Abalos, Eric

Age: 3 years old Sex: Male
Address: Catbalogan, Samar
Birthdate: August 20, 2006
Birthplace: Catbalogan
Mother’s Name: Marissa Abalos
Father’s Name: Jojo Abalos
Religious Preference: Roman Catholic
Chief Complaint: (+) pallor, dyspnea,
abdominal pain
Physical Examination: Pale, abdomen (+)
tenderness in deep palpation
Tentative Diagnosis: Hypertension, Anemia
Principal Diagnosis: Acute Poststreptococcal
Glomerulonephritis
History of Past Illness:

S.O. stated “Dida han Dec. 25, nakaka-oro pa it

akon anak, pero dida han Dec. 26 abot Jan. 26,
wara na paka-oro an akon anak.
Amoadtonagpatambalan kami kay nabuyagan
man adto hiya. Nag-alay na kami hin mga
manok pero waray la ngahaw mag-upay, salit
gin-admit namon ngadi ha ospital kay 1 month
na waray pakaka-oro an bata. Maluya na ngan
nagwawala na kay masakit duro it iya tiyan.”
Past History:
 Childhood Ilnesses: Upper Respiratory Tract
Infection
 Childhood Immunizations: Complete

Family History of Illness: Leukemia, Cancer of

the Bone

Lifestyle:
 Diet: Mostly fish and vegetables
Admission:
Date: 01/26/2010 Time: 08:15 am

Admitting Physician: Dr. Catalan

Exam Requested: Abdomen Supine and Upright
X-ray No.: 36684
Requesting Physician: Dr. Mabulay
ROENTGENOGRAPHIC REPORT
Abdomen upright/flat:
Non-dilated bowel loops. No differential air fluid
levels. No intraabdominal calcification or radiopaque
density noted. Intact psoas muscles outline. No
subdiaphragmatic air collection noted. Normal
osseous structures
IMPRESSION: Non-obstructive bowel pattern other as
described above.