PERSONAL DATA

PATIENTS
PROFILE
PATIENTS NAME : Ms.A
CASE #
: 084851
AGE
: 22
SEX
: Female
CIVIL STATUS
: Single
ADDRESS
: San Lorenzo Sta.Elena
BIRTHDAY
: November 11, 1992
RELIGION
: Roman Catholic
NATIONALITY
: Filipino

MEDICAL DATA
CHIEF COMPLAINT
:Right Lower Quadrant Pain
ADMITTING DIAGNOSIS : T/C Acute Appendicitis
FINAL DIAGNOSIS
: Acute Appendicitis, Suppurated
DATE OF ADMISSION
: July 13, 2015

History of Present Illness:

Two days Prior To Admission
RLQ pain
Vomiting
Fever

One day Prior To Admission

Admitted at Rosary of Virgin Mary Hospital
Abdominal pain

Vital sign
Temperature: 36C
Pulse: 100/min
Respiration: 19/min
Blood Pressure: 80/60

LABORATORY RESULT
HEMATOLOGY
UNIT
Examination
Hemoglobin [HBG]
g/L

Hematocrit [HCT] or
Packed Cell Volume

White Blood Cell

[WBC]
Differential Count
Neutrophils
Lymphocytes
Others

RESULT

144
0.43

REFERENCE RANGE

[M] 135-175 [F]

115-164
Male: 0.40-0.52
Female: 0.36-0.48

12. 9

5.00-10.00

0. 91
0.09

0.25-0. 70
0.20-0.40