Pneumonia a Case Study
II. HISTORY OF PRESENT ILLNESS
Three days prior to admission, the patient suffered from fever, cough, and colds. He didn’t receive any medications or even consulted a physician. One day prior to admission, he suffered difficulty of breathing which triggered his parents to bring him to the hospital. They went first in the OPD and he was assessed with (+) head hobbing, (+) nasal flaring, and (+) rales. He was admitted at the PICU ward for further evaluation. Through the diagnosis of the attending physician, it was found that he has bronchopneumonia, severe.
III. PAST HISTORY
The patient completed her immunization except Hepatitis – B Vaccine due to lack of financial resources. The patient did not experience any hospitalization before. He is the third child of the family and was a home delivery by a midwife. He suffered the same signs and symptoms when he was 10 month – old. He was brought at the health center for consultation and was prescribed to take medicines (the parent can not remember the medicine given). He did not complete the medication due to financial insufficiency and relieved from the illness.
IV. FAMILY HISTORY
No familial diseases.
V. DESCRIPTION OF PRESENT ILLNESS
An acute infectious disease of the lungs usually caused by the pneumoccocus resulting in the consolidation of one or more lobes of either or both lungs.
Etiology • Majority of cases due to Diploccocus pneumoniae • Occasionally pneumoccocus of Friedlander • Other organisms • Viruses
Predisposing Causes • Fatigue • Overexposure to inclement weather (extreme heat or cold) • Exposure to polluted air • Malnutrition
Incubation Period – 2 to 3 days
Signs and Symptoms • Rhinitis/common cold • Chest indrawing • Rusty sputum • Productive cough • Fast respiration • High fever • Vomiting at times • Convulsions may occur •
Three days prior to admission, the patient suffered from fever, cough, and colds. He didn’t receive any medications or even consulted a physician. One day prior to admission, he suffered difficulty of breathing which triggered his parents to bring him to the hospital. They went first in the OPD and he was assessed with (+) head hobbing, (+) nasal flaring, and (+) rales. He was admitted at the PICU ward for further evaluation. Through the diagnosis of the attending physician, it was found that he has bronchopneumonia, severe.
III. PAST HISTORY
The patient completed her immunization except Hepatitis – B Vaccine due to lack of financial resources. The patient did not experience any hospitalization before. He is the third child of the family and was a home delivery by a midwife. He suffered the same signs and symptoms when he was 10 month – old. He was brought at the health center for consultation and was prescribed to take medicines (the parent can not remember the medicine given). He did not complete the medication due to financial insufficiency and relieved from the illness.
IV. FAMILY HISTORY
No familial diseases.
V. DESCRIPTION OF PRESENT ILLNESS
An acute infectious disease of the lungs usually caused by the pneumoccocus resulting in the consolidation of one or more lobes of either or both lungs.
Etiology • Majority of cases due to Diploccocus pneumoniae • Occasionally pneumoccocus of Friedlander • Other organisms • Viruses
Predisposing Causes • Fatigue • Overexposure to inclement weather (extreme heat or cold) • Exposure to polluted air • Malnutrition
Incubation Period – 2 to 3 days
Signs and Symptoms • Rhinitis/common cold • Chest indrawing • Rusty sputum • Productive cough • Fast respiration • High fever • Vomiting at times • Convulsions may occur •