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PATIENT’S PROFILE C.

PAST HEALTH HISTORY

A. DEMOGRAPHIC DATA
The patient has no known allergies in foods, drugs, animals,
NAME: BENJIE
insect bites, bee stings etc. He usually takes paracetamol for
AGE: 53 years old
fever, ibuprofen for pain, amoxicillin for infections, antacids for
GENDER: Male
hyperacidity.
ADDRESS: Bangaoilan West, Bangar, La Union
BIRTHDAY: June 4, 2012
According to patients’ significant other, patient has been
OCCUPATION: Farmer
hospitalized last 2017 due to diarrhea. And its his second time to
CIVIL STATUS: Married
be admitted.
RACE: Asian
D. FAMILY HISTORY
NATIONALITY: Filipino
CULTURE: Ilocano
Patient’s father has HPN, (+)DM, (-) respiratory diseases. His
RELIGIOUS ORIENTATION: Roman Catholic
mother was also positive from HPN.
EDCUATIONAL ATTAINMENT: 4th year Highschool
TIME OF ADMISSION: 10:00 am
DATE OF ADMISSION: February 04, 2020
E. SOCIAL HISTORY
INITIAL DIAGNOSIS: CEREBROVASCULAR DISEASE
PROBABLY INFARCT VS BLEED LMCA According to patients’ significant other, he does not smoke and
CHIEF COMPLAINT: Right side body weakness only drinks occasionally. He is fond of salty food where he
always have at least a pinch of salt at his side dish.

B. HISTORY OF PRESENT ILLNESS

3 days prior to admission, patient felt right right body


weakness when he tried to sit he almost fell off to the floor.
Few hours prior to admission, patient had facial asymmetry,
right body weakness. Patient consulted and then admitted.