PATIENT DATA N.H 53/M Married Filipino Roman Catholic Pasig city
CHIEF COMPLAINT "nabangga ng motor" (motor accident)
HISTORY OF PRESENT ILLNESS NOI: motorcycle accident (motorcycle versus motorcycle) TOI: 6:50 PM POI: Julia Vargas ave cor. Meralco ave DOI: Feb 15 2012
10 mins prior to consult Patient was riding his motorcycle, with a helmet, along Julia Vargas ave. when another motorcycle hit his motorcycle from the back throwing him off forward causing multiple injuries.
There was no loss of consciousness No vomiting No dizziness (+) pain, generalized, most at right leg and left hand
Patient was then brought to TMC-ER for evaluation Hence consult and subsequent admission
PAST MEDICAL HISTORY (+) Diabetes Mellitus maintained on Metformin 500 mg OD (+) Hypocalcemia, diagnosed 1 year prior during routine company check-up Calcium supplement Previous hospitalization. Acute Gastroenteritis Previous surgery. Inguinal heniorrhaphy No known allergies