Daily Census OSMAK April 4, 2024

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

OSPITAL NG MAKATI

Sampaguita St. Corner Gumamela St., Brgy. Pembo, Makati City


Department of Obstetrics and Gynecology
Daily Census
April 4, 2024
(Thursday)
Admitting Team:
High Risk Dr. Castro
I – G3P3 (3003) s/p E LTCS III followed by BTL; GDM, diet controlled
Total # of Admissions: 9 I-G2P1(1011) s/p E LTCS I for NRFS Spontaneous variable deceleration, Preeclampsia
Dr. Franada
OB: 7 with Severe features Dr. Alfabeto
I- G6P6 (7007) PU s/p NSD, GDM diet controlled, Advanced maternal age, Grand Tungcul
Low Risk: 0 Go
multipara
High Risk: 7 I-G3P3(3003) PU s/p NSD, Gestational Hypertension, Hepatitis B infection, Elderly Roque (TL)
Pathologic: 0 Gravid Gavino
I-G3P2(2012) s/p NSD; Bronchial Asthma not in acute exacerbation De Guia
Gyne: 2 I-G3P2 (2002) Pregnancy Uterine 18 5/7 weeks AOG by LMP, Deep Vein Thrombosis, Gallano
Activity: 2 Chronic Hypertension, Chronic Active Hepatitis B infection, high infectivity, Hepatitis
Kadappurath
A infection,Myoma Uteri, t/c Anxiety disorder
Livebirths: 6 I- G1P0 Pregnancy Uterine 39 weeks AOG by LMP cephalic in beginning labor Vito
Ward: Gestational Diabetes Mellitus, diet controlled
Gyne
HAMA: 0 Family Planning Acceptor:
I – G1P1(1001),AUB-P, M(Endometrial hyperplasia without atypia), Diabetes Mellitus
THOC: 0 type 2, controlled Natural: 0
Hypertension, controlled,Previous CS x 1 for unrecalled indication (OSMAK, 2010) OCP/POP: 3
REFERRAL/S: 0 IUD: 1
Previous Dilatation and curettage with endometrial Biopsy under GA-TIVA(8/30/23)
MORTALITY: 0 Injectable: 0
I-G6P6 (6006), Postmenopausal bleeding etiology to be determined BTL: 2
NICU Admissions: 1
Uterine leiomyoma, Bacterial vaginosis, Thyrotoxic heart disease Implant: 0
ASCVD, Intermittent AF in CVR, NYHA II, Hypertension st II, Previous Interval BTL
(1988, PGH)

NICU:
I-Baby Girl Amy for LBW and Thickly meconium stained

ADMISSION
Hospital #
OB/Gyne
Address/Time
Bed YC
Admitted/ Name/Age RVS
Hgb/Hct R/WI Service Remarks
Delivered or Final Diagnosis Code
B type PH
Duration of
HBsAg
procedure/EBL

1. BONAOBRA, MARITES / 38
Dr. Calo
290571
G3P3 (3003) Pregnancy Uterine Tungcul
03/26/1986
Delivered term, cephalic Go
OB 1 NYC 1 BLK 131 lot 11 Live baby boy Roque (TL) EINC
12.6/0.37 R fortune st. rizal AS 9,9 BW 2.91 kg BL 51 cm MI 39 weeks AGA Gavino 59409
A+ (+) PH TAGUIG Chronic Hypertension, controlled
De Guia FP: BTL
NR CVx2 0950H/1234H Gestational Diabetes Mellitus, diet controlled
Elderly gravid Gallano
1214H/1425H
Previous CS x II for unrecalled indication (2009,2015 OsMak) Kadappurath
EBL: 800cc
Vito
By 'E' LTCS III + BTL under CLEA (04/04/2024)

3928569 2. AMO, MA. LOURDES MEDINA / 26 Dr. Franada


03/03/1998 Tungcul
G2P1 (1011) Pregnancy Uterine
2708 BIAK NA Delivered term cephalic live baby girl Go
RR NYC
BATO ST., SOUTH AS 8,9 BW 1.96 kg BL 45 cm MI 37 weeks, SGA Roque (TL) NICU for
12.2/0.36 WI
AVE., OLYMPIA Preeclampsia with severe features Gavino 59409 LBW
O+ (-) PH
MAKATI Thickly meconium stained amniotic fluid De Guia FP: POP
NR CVx2
1940H/0250H Gallano
0239H/ 0406H By Emergency Low Transverse Cesarean Section I under Kadappurath
CLEA for Non-reassuring Retal Status: (Category II tracing:
EBL: 600cc Vito
Spontaneous variable decelerations) (4/5/2024)
3753593 Dr. Franada
3. PAHAMUTANG, MELANIE CUEVA / 35
11/19/1988 Tungcul
4050 G3P3(3003) Pregnancy uterine Go
OB 10 NYC BERNARDINO ST., Delivered term cephalic live baby girl Roque (TL)
13.7/0.41 R GUADALUPE AS 9,9 BW 3.04 kg BL 52cm MI 39 weeks AGA EINC
Gavino NSD01
B+ (-) PH VIEJO MAKATI Gestational Hypertension FP: POP
De Guia
R CVx2 Hepatitis B infection
1905H/0156H Gallano
Elderly gravid
By Normal spontaneous delivery; right mediolateral Kadappurath
episiotomy and repair under CLEA (4/5/2024) Vito

4. CERDENIA, DONALYN FALTADO / 40


Dr. Odevilas
G6P6 (6006) Pregnancy Uterine Tungcul
3777993
Delivered term cephalic live baby boy Go
RR YC 09/15/1983 AS 9,9 BW 3.57 kg BL 54 cm MI 40 weeks AGA Roque (TL)
11.5/0.32 R 8453 TRABAJO Gestational Diabetes Mellitus, diet controlled EINC
Gavino NSD01
O+ (+) PH ST., OLYMPIA Advance maternal age FP: IUD
De Guia
NR CVx2 MAKATI Grand multipara
Gallano
1411H/ 0258H
By Normal spontaneous delivery; Perineal support with repair Kadappurath
of 2nd degree laceration under local anesthesia followed by Vito
IUD insertion (04/05/2024)

5. ULEP, MARY ROSE MACALDO / 27


Dr. Irabon
G3P2 (2012) Pregnancy Uterine
Tungcul
148827 Delivered cephalic term
Live baby boy Go
OB 9 YC 05/06/1996
AS 9,9 BW 2.96kg, BL 51cm, MI 39 weeks AGA Roque (TL)
14.2/0.42 R 3298 ZAPOTE ST., EINC
Bronchial asthma not in acute exacerbation Gavino NSD01
A+ (-) PH SANTA CRUZ FP: POP
De Guia
NR CVx2 MAKATI Previous Completion curettage under GA - TIVA (12/29/2022) Gallano
1546H/2321H
Kadappurath
By Normal spontaneous delivery with right mediolateral
Vito
episiotomy and episiorraphy under local anesthesia
(04/04/2024)

3819231 Dr. Odevilas


ER 6. DELOS REYES, MIKA/ 20 Tungcul
YC 10/31/2003
__/__ Go
NR 5082 MALOLOS G1P0 Pregnancy Uterine 39 weeks AOG by LMP cephalic in Roque (TL)
__ -- ---
(+) PH ST. TEJEROS beginning labor De Guia,
__ MAKATI
CV X 2 Gestational Diabetes Mellitus, diet controlled Gallano
0630H/ Vito

Dr. Palomares
7. CABUENAS, JENELYN ABENION / 32
Tungcul
286599 G3P2 (2002) Pregnancy Uterine 18 5/7 weeks AOG by LMP Go
HR 3 YC
05/07/1991 Deep Vein Thrombosis Roque (TL)
11.3/0.33 R
374 PANAY ST., Chronic Hypertension Gavino - -
B+ (+) PH
PITOGO TAGUIGI Chronic Active Hepatitis B infection, high infectivity De Guia
R CVx2 Hepatitis A infection
2345H Gallano
Myoma Uteri Kadappurath
t/c Anxiety disorder
Vito

Dr. Matignas
8. DOLLENTE, JEANETH DE JESUS / 49 Paningbatan
18022
Tungcul
06/09/1974 G1P1(1001)
711 NYC AUB-P, M(Endometrial hyperplasia without atypia) Go For Hyst
2708 BIAK NA
13.4/0.39 R Diabetes Mellitus type 2, controlled Roque (TL) guided
BATO ST., SOUTH -
B+ (-) PH Hypertension, controlled Gavino endometrial
AVE., OLYMPIA
NR CVx2 Previous CS x 1 for unrecalled indication (OSMAK, 2010) De Guia biopsy
MAKATI
Gallano
1940H Previous Dilatation and curettage with endometrial Biopsy Kadappurath
under GA-TIVA(8/30/23)
Vito
9. DOMINGUEZ, MERLIZA TUPAZ / 67 Dr. Matignas
Paningbatan
3736428
G6P6 (6006) Tungcul
06/05/1956 Postmenopausal bleeding etiology to be determined
Gyne YC Go For Hyst
1347 Uterine leiomyoma
11.8/0.35 R Roque (TL) guided
PAGKAKAISA ST,. Bacterial vaginosis -
A+ (-) PH Gavino endometrial
KASILAWAN Thyrotoxic heart disease
NR CVx2 ASCVD, Intermittent AF in CVR, NYHA II De Guia biopsy
MAKATI
Hypertension st II Gallano
1112H
Kadappurath
Previous Interval BTL (1988, PGH) Vito

ACTIVITY
Hospital #
OB/Gyne
Address/Time
Bed YC
Admitted/ Name/Age RVS
Hgb/Hct R/WI Service Remarks
Delivered or Final Diagnosis Code
B type PH
Duration of
HBsAg
procedure/EBL

1. FAUSTINO, KIMBERLY ORDANO / 28


204977
01/16/1996 G4P4 (4004) Pregnancy Uterine Dr. Calo
Delivered Term Cephalic
2884 H. SANTOS Tungcul
Live Baby Boy
OB 11 YC ST., TEJEROS AS 9,9 BW 2.78 kg BL 52 cm MI 37 weeks AGA Reyes (TL) 59514,
10.7/0.31 WI MAKATI Rh Negative Gallano* 59120 EINC
A- (+) PH 1118H/1725H Pesigan FP: BTL
NR CVx2 1704H/1939H Previous CS x3 (I - NRFS, 2015 OSMAK; II - 2020 OSMAK; Tugado
III- 2022 OSMAK) Jasarino
Tiongson
By Elective Low Transverse Cesarean Section IV with
EBL: 700cc
Bilateral Salpingectomy under Continuous Lumbar Epidural
Anesthesia (04/04/24)

2. BRIONES, MICHEALLE CAMPOMANES / 31


Dr. Alfabeto
325705 G2P1 (1001) 4 weeks missed menses Tungcul
04/28/1992 t/c Early pregnancy Ballesteros
GYNE 3 YC 7948 TEKA ST. Ovarian new growth, left porbably malignant, intraoperative De Paz (TL)
9.2/0.28 R SAN ANTONIO stage I Gavino (P)
MAKATI BT of 1u pRBC for Anemia mild secondary to malignancy, 58720 -
B+ (+) PH Gallano
1212H corrected
NR CVx2 1022H/1240H Posadas
s/p Exploratory Laparotomy, peritoneal fluid cytology, Alzaga
EBL: 450cc unilateral salpingo-oophorectomy, left, bilateral lymph node Kadappurath
dissection, para-aortic lymph node sampling, infracolic Vito
omentectomy (April 4, 2024)

You might also like