University of the East

RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER

DEPARTMENT OF SURGERY
Aurora Boulevard, Quezon City

CLINICAL ABSTRACT

PATIENT’S DATA

Tuesday, July 10, 2018

Case Number: 64325

Name: TINGAL, FRANCISCO GIDO
Age/Sex: 52/Male
Date of Admission: May 21, 2018
Room No.: Male Surgery Ward
Working Diagnosis: Periampullary Adenocarcinoma, Stage IIIB, S/P Pancreaticoduodenectomy, Feeding Tube Jejunostomy,
Central Venous Access (Internal Jugular Vein, Right) (05.31.18), S/P Exploratory Laparotomy, Repair of Fascial Dehiscence
(06.06.18)

DIAGNOSTICS:
1. CBC (05.22.18, 06.01.18, 06.02.18, 06.03.18, 06.05.18, 06.07.18, 06.11.18, 06.14.18, 06.26.18, 06.11.18, 06.30.18)
2. Arterial Blood Gas (06.01.18, 06.02.18, 06.05.18, 06.07.18, 06.09.18) (06.26.18) (07.09.18)
3. Serum Electrolytes (Na) (06.01.18, 06.02.18, 06.03.18, 06.04.18, 06.05.18, 06.08.18, 06.10.18, 06.14.18, 06.22.18, 06.26.18,
07.03.18, 07.09.18, 07.11.18
4. Serum Electrolytes (K) (06.01.18, 06.02.18, 06.03.18, 06.04.18, 06.05.18, 06.07.18, 06.08.18, 06.10.18, 06.11.18, 06.14.18,
06.17.18, 06.22.18, 06.26.18, 07.09.18, 07.11.18
5. Serum Electrolytes (iCa) (06.02.18, 06.03.18)
6. Serum Electrolytes (Mg) (06.01.18, 06.03.18)
7. Thyroid Function Test (TSH, FT3, FT4) (06.02.18)
8. Creatinine 07.09.18
9. Urinalysis (06.01.18)
10. Fecalysis (06.10.18)
11. Chest X-ray (05.21.18, 06.20.18, 06.12.18)
12. Chest CT Scan with IV contrast (05.23.18)
13. Abdominal CT Scan with IV contrast (07.04.18)
14. ECG (05.22.18, 06.01.18, 06.02.18,07.07.18)
15. 2D Echo (06.02.18)
16. D Dimer (06.02.18)

THERAPEUTICS:
1. Kalium durule 1 durule twice a day
2. Metoprolol 50mg tablet twice a day
3. Enalapril 5mg ½ tab twice a day
4. Trimetazidine 35mg tablet twice a day
5. Atorvastatin 40mg tablet once a day
6. Cefoxitin 1gm IV every 8 hrs
7. Metronidazole 500mg IV every 8 hrs
8. Piperacillin Tazobactam 4.5gm every 6 hrs
9. Esomeprazole 40mg IV every 12 hrs
10. Paracetamol 300mg IV every 6hrs as needed
11. Meropenem 1g IV every 8 hrs
12. Dexketoprofen 25mg 1 tablet every 8 hrs
13. Flumucil 600mg tablet once a day
14. Metoclopromide 10mg IV every 6 hrs
15. Vancomycin 1gm every 12 hrs
16. Imipenem 500mg IV every 6 hrs
 University of the East
RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER

DEPARTMENT OF SURGERY
Aurora Boulevard, Quezon City

INTRAVENOUS FLUIDS
1. Sterofundin 1L X 2
2. PLR 1L X 15
3. PNSS 1L X 51
4. D5 0.3 NaCl 1L X 6
5. D5 LR 1L X 1
6. D5 W 1L X 26
7. B-Fluid 1L X 3
8. D5 NSS 1L X 4
9. D5 NM 1L X 4

PROCEDURES
1. Pancreaticoduodenectomy, Feeding Jejunostomy, Central Venous Access, Right Internal Jugular Vein (05.31.18)
2. Exploratory Laparotomy, Repair of Fascial Dehiscence (06.06.18)
3. EGD guided NGT insertion (07.07.18)

Respectfully yours: Noted By:

________________________________ ________________________________
Willmar Jayve Añoso, MD Napoleon B. Alcedo, Jr., M.D.
Chief Resident Medical Director
Department of Surgery UERM Memorial Medical Center, Inc.
UERM Memorial Medical Center, IncLicense No. 67859 License No: 124137
 UNIVERSITY OF THE EAST
RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER, INC.
64 Aurora Boulevard, Barangay Doña Imelda, Quezon City 1113

DEPARTMENT OF SURGERY

Thursday, July 19, 2018

To Whom It May Concern:,

Greetings! This letter is prepared on behalf of our patient TINGAL, FRANCISCO GIDO a 52-year-old
Filipino male from 3374 2nd St. V. Mapa, 601, Sta. Mesa, Manila. He was admitted at our institution on May
21, 2018 with a working diagnosis of Periampullary Adenocarcinoma, Stage IIIB, S/P
Pancreaticoduodenectomy, Feeding Tube Jejunostomy, Central Venous Access (Internal Jugular Vein, Right)
(05.31.18), S/P Exploratory Laparotomy, Repair of Fascial Dehiscence (06.06.18)

The patient’s family is currently under financial difficulty and is unable to procure funds to cover his medical
expenses. This referral is made upon the request of the patient for the purpose of soliciting financial support
from your good office. The patient and his family will greatly benefit from any help from your institution. We
look forward to a favorable response from you.

Attached is a copy of the patient’s clinical abstract.

Thank you very much for your kind attention to this matter.

Respectfully yours, Noted by:

WILLMAR JAYVE AÑOSO NAPOLEON B. ALCEDO, JR., M.D.

Chief Resident Medical Director
Department of Surgery UERM Memorial Medical Center, Inc.
UERM Memorial Medical Center, Inc. License No. 67859
License No: 124137