Patient Profile  N.F., 55 years old Filipino female, married housewife, Roman Catholic, from Makati City  Admitted last December 3, 2011

Patient Profile  Land lady, manages her own general merchandise (family’s primary source of income)  Lives in a bungalow (mixed concrete and wood), located along the road, with 5 occupants, 3 rooms, 1 CR, with electricity, MAYNILAD as source of water, garbage collected daily

Patient Profile  Daly activities: Doing household chores, accompanies grandson to school  Sleeping habit: 10PM-6AM and 12NN-3PM

Patient Profile  Food preference: rice, vegetables and fish  Drinks >1L/day; rarely drinks coffee; non-alcoholic beverage drinker  Non-smoker  Regular BM (1x daily)  Urinates 4-5x daily, total of 2.5L/day

Chief Complaint  Body weakness of 8 days duration

History of Present Illness  9 days PTA  (+) fever (38°C), relieved by 1 tab of Bioflu  8 days PTA  (+) body weakness described as feeling of fatigue, advised bed rest by her daughter, avoided her usual activities

History of Present Illness  6 days PTA  still with body weakness  (+) decrease appetite (from the usual 1 cup of rice/meal 3x a day with snacks in between to 2-3 glasses of milk and 2-3 crackers)

History of Present Illness  2 days PTA  Persistence of weakness & decrease in appetite + vague epigastric pain (feeling of hunger, PS of 5-6/10) prompted consult at a private physician  Given Omeprazole, Mefenamic Acid and Iselpin w/c relieved the pain after taking 1 tab each

History of Present Illness  2 days PTA  Advised to drink 1 glass of Ensure per day but did not comply due to unpleasant taste  Series of laboratory examinations done

History of Present Illness  Day of admission  Follow-up consult with the same physician for laboratory results showed elevated BUN, Creatinine, FBS, total cholesterol, triglycerides, HDL, LDL, SGPT, uric acid, K, and WBC? (we still don’t have the copy of lab results done outside, sir X will try to contact the said private physician)

History of Present Illness  Day of admission  (+) bipedal edema, grade 1 noted by the physician  Advised admission

Temporal Profile

Past Medical History  (+) UTI – 1997, treated for 1 month; patient claimed to be recurrent (frequency not established) though no laboratories done to support, self medicated with Bactrim 1-2 doses per episode

Past Medical History  (+) Hypertension On Losartan 50mg PRN (sorry, couldn’t find the right term, basta pagnagagalit lang dw siya) so di xa noncompliant coz that was the exact advised daw sa kanya ng dr. Usual BP: /80-90  (+) Diabetes Mellitus Type On Gliclazide 80mg BID, with poor compliance

Past Medical History  Use of Herbal supplements (Taheebo) for 6 months – 2005  (-) hx of nephrolithiasis, (-) chronic use of NSAIDS  (-) exposure to CT scan with contrast

Family History  (+) Hypertension  (+) Diabetes Mellitus – both sides

Review of Systems  General: (?) weight loss  Skin: (-) rashes, (-) pruritus  Eyes: (-) visual disturbances (do we need to specify?)  Respiratory: (-) cough/colds, (-) DOB  Cardiovascular: (-) orthopnea, (-) dyspnea  GIT: (-) nausea/vomiting, (-) hematomesis, (-) diarrhea, (-) constipation, (-) hematochezia, (-) melena 

Review of Systems  Urinary: (-) dysuria, (-) polyuria, (-) nocturia, (-) hematuria, (-) tea-colored urine  Extremities: (-) cyanosis, (-) muscle cramps  Nervous System: (-) headache, (-) dizziness, (-) altered mental status, (-) loss of consciousness,  Endocrine: (-) intolerance to heat and cold, (-) neck surgery/irradiation, (-) excessive thirst/hunger, (-) thyroid problems

Admitting Physical Examination  Vital Signs BP = 140/80 mmHg HR = 93 bpm RR = 17 cpm Temperature = 36.4C

Admitting Physical Examination  Head and Neck Dirty sclerae Pink palpebral conjunctivae No cervical lymphadenopathies No tonsillo-pharyngeal congestion  Chest and Lungs Symmetric chest expansion No retractions Clear breath sounds

Admitting Physical Examination  Heart Adynamic precordium Distinct S1 and S2 Normal rate Regular rhythm No murmur appreciated

Admitting Physical Examination  Abdomen Flabby abdomen Soft Non-tender upon palpation  Extremities Full and equal pulses Bipedal edema No cyanosis

Opthalmologic Exam Visual AcuityODOS Far visionw/ correction20/125 w/o correction20/12520/100 Pinhole test20/6320/80 Near visionw/ correctionJ7J10 w/o correctionJ5J7 Opthalmologic Impression: Nonproliferative DM retinopathy, OD-mild, OS-normal Immature cataract OU