Neonate PE and HX

Post on 17-Aug-2015

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Historian: Rikki Kent D. Ba-acoMedicine IIA | SGD 1I. GENERAL DATAInformant: Hermilyn oy Bernal! "#Relations$i% to &atient: Mot$erRelia'ility: (()*ame of &atient: R$ayen BernalA+e: , days oldSe-: ./i0il Stat1s: *e2 BornDate of Birt$: 1ly (! "3145ime of Birt$: ,:41 %mBirt$%lace: 67S8 Medical /enterAddress: 9:ate! Mand1rriao! IloioloReli+ion: Roman /at$olic*ationality: .ili%ino6ard: Ste%-Do2n *I/8Historian: M;D "A! Gro1% 1Date History 5aken: 1ly 11331?%rior to deli0ery.S$edisco0eredt$ats$e2asalready%re+nant2$enit2asa'o1t"mont$st$ro1+$a%ositi0e%re+nancytest. Ho2e0er! after "2eeksofdelayedmenstr1al%eriod! s$ealready e-%erienced fati+1e!na1seaand0omitin+t$at lasted1ntil #rdmont$A9G. S$e$ad$er @rst %renatalc$eck1% at #rd mont$ A9G at t$eir 'aran+ay $ealt$ center. 5$es1cceedin+c$eck1%s2erecond1ctedoncee0erymont$1ntil t$eAt$mont$! and t2ice startin+ at t$e Bt$mont$ at 67S8 Medical /enter. S$e$ad B %renatal c$eck1%s %rior to deli0ery. D1rin+ t$e "33"?.IV. FAMILY HISTORY5$is is t$e mot$er=s second %re+nancy. S$e $ad $er @rst %re+nancy