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ANGELES UNIVERSITY FOUNDATION

CHOLELITHIASIS
CASE REPORT

4TH ROTATION SURGERY WARD


RAFAEL LAZATIN MEMORIAL MEDICAL CENTER
SURGERY WARD

Submitted by:
Amio, Marjoree
Ana, Abigail Maygie
Concepcion, Millette
De Jesus, Alexander
BSN III-1 Group 2

Submitted to:
Joyce M. Limpin-Pangilinan R.N., M.N.

TABLE OF CONTENTS
I

Introduction1

II

Nursing Process..6
A

Assessment
1

Personal Data6

Family health history.9

History of Past Illness...11

History of Present Illness..11

Physical Assessment

Diagnostic and Laboratory Procedures....18

Anatomy and Physiology.32

Pathophysiology
Book Based35

ii

Client Based...36

Planning
1

Nursing Care Plan39

Implementation
1

Medical Management...54

Drug Study...55

Diet...62

Activity or Exercise..64

Surgical Management...68

Nursing Management

(FDAR)

69
D

Evaluation
1

Patients Daily Program in the Hospital...71

Discharge Planning...74

III

Summary of Findings75

IV

Conclusion..75

Recommendation76

VI

Learning Derived76

VII

Bibliography...80