Name: Francis Laudemir B.

Libre HD 202
Student Number: 2010-36133

HD 202 Anamnesis

Name of Patient: Francis Laudemir B. Libre

I. General Data
Age: 23
Height: 54
Weight: 84 kg
Occupation: Medical Student
Address:
Contact Number: 09228620023

II. Anamnesis
Developmental History and Milestones
1. Early Childhood
A. Prenatal history and mothers pregnancy and delivery:
The patient had an unremarkable course throughout pregnancy. Delivered though
spontaneous vaginal delivery. No attempts were made to abort the patient. The patients
mother had regular prenatal checkups and took regular folate supplements to prevent
neural tube defects.

Feeding habits
The patient had normal feeding habits and introduced to solid foods at the age of 4
months.

Breast-fed or bottle-fed or mixed?

The patient was not breastfed. The family insisted on bottle feeding right away
despite advice of health professionals to breastfeed. The patient was very particular about
flavor of Sustagen and would consume a can of milk in three days.

Eating problems
 Early on, the patient had a history of inappropriate diet. The patient was constantly
eating cured meats and sweets. The patient expressed a dislike of fruits and vegetables
until early elementary school.

B. Early development
Language development
The patient had a delay in language development as early as 4 years old as was
referred to a Developmental Pediatrician, who recommended therapy. Therapy was initiated
once a week with a speech pathologist. The patients first word was Toko which means
gecko in Bisaya.

Motor development
The patient followed the normal pattern of motor development; he was able to flex
his head by two months, walk by five months and stand by ten months.

Sleep pattern
The patient had an unremarkable sleep pattern, normal for a young child.

2. Middle Childhood
A. Early school history
The patient was started at Playschool Adventures in Davao City, where the patient
had difficulty adjusting because the medium of instruction was in Filipino. The patient was
then transferred to Preschool Adventures in his hometown in Digos City.

B. Early adjustment
The patient showed advanced cognitive development relative to his peers. While he
barely listened to his teachers, it was noted that he would answer when asked and was
mostly left to his own devices. He preferred to read books rather than play with toys and
read the Harry Potter Series.

C. Did the patient identified with mother or father at this point?

 The patient identified more with the mother than the father. However, he still loved
his father but more often would talk to the father.

3. Late Childhood
A. Peer relationships

B. School history

C. Cognitive and motor development

D. Particular adolescent emotional or physical problems

The patient was often teased in high school for being too feminine compared to his
peers. He was also teased for being overweight.

E. Psychosexual history
The patient discovered the concepts about sex by himself through the internet. He
would sometimes go to a secluded corner of the internet caf and watch pornographic
material.

F. Religious background
 The patient was raised as a Southern Baptist. The mother was Roman Catholic
while the father was Southern Baptist. The mother soon converted after marriage.
Currently, the patient does not always go to church unless he is joined by his parents.

4. Adulthood
A. Occupational History
The patient is a registered nutritionist-dietitian who passed the board exam two
years ago. After graduating from college, he took the board exam and applied to the UP
College of Medicine. Failing to get in the first time, he decided to apply again and take a
gap year.

B. Social activity
The patient regularly socializes with other people. Being part of a choir, he often
goes out with the choir after rehearsals. He also regularly goes out with his batchmates
from medical school and is actively engaged in the class through engagement in class
activities and academics. He is also regularly goes out with his friends from the
Regionalization Students Organization.

C. Adult Sexuality
The patient identifies as a heterosexual male. However he has not had any
romantic relationships or sexual relationships. He is not interested in pursuing either for
the duration of medical school.

D. Value Systems
The patient has a strong sense of responsibility and a passion to serve other
people. However, he has a weak will and tends to volunteer for too many
responsibilities. Regardless, he believes he is regarded by his peers as a responsible
role model. He also has fairly good time management skills.