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Mga Suliranin Sa Irigasyon

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Mga Suliranin Sa Irigasyon
Initial Evaluation
Patient Name:OrlindaBalinog
Age: 62 y/o
Address: Laoag CITY
Civil Status: Married
Handedness: (R)
Occupation: Retired Secondary Teacher
Religion: Baptist
Referring Unit: Ranada Hospital
Referring Dr.: Dr. Ranada
Rehab Unit: Health and Wellness Haven Rehab Center
Rehab Dr.: Dr. Sheeree Ann Mina
Date of Consultation: Nov. 11, 2012
Date of Referral: Nov. 14, 2012
Date of IE: Nov. Nov. 14, 2012
Dx: S/P stroke, multiple Infarcts, (R) parietal lobe and white matter c (L) sided hemiplegia HPN, DM

HPI: Present condition started 4 days PTIE; pt. was in their house when the pt. ate hamburger and French fries. The pt. suddenly felt weakness on her (L) side of the body and the pt. son noticed her slurry speech. Then the pt. son got bottled water wrapped with towel and he put it on the affected area of the pt. then after went to bed. The next day the pt. decided for check-up with her daughter. The pt. undergone x-ray and CT scan (see ancillary procedure) and took meds (see present meds). The pt. stayed at the hospital for 3 days and while at the hospital, PT Rehab has already done. After the discharge, Dr. Ranada referred the pt. to have Physical Therapy program at the Heath and Wellness Haven Rehab Center under the supervision of Dr. Mina.

Ancillary Procedure: Examination | Findings | Date | X-ray | Unrecalled | Nov. 11, 2012 | CT scan | unrecalled | Nov. 11, 2012 |

Present Meds: Medication | Dosage | Indication | Lozartan | tid | To treat high blood pressure | Aspirin | tid | To relieve pain |

PMHx:

(+) HTN (+) DM (+) previous hospitalization (DM, Nov. 10, 2012) (+) multiple infarcts

FMHx: Condition | Maternal side | Paternal side | DM | (-) | (-) | HTN | (-) | (-) | CVA | (-) | (-) |

PSEHx: * Pt. has active lifestyle * Non- cigarette smoker * Non- alcohol beverage drinker * Pt. lives with her husband and 5 children * Lives in a 2 storey apartment with a
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