II.

Nursing Health History

Patients Profile

Name: Mrs. MH

Address:

Age: 41yrs.old

Sex: female

Ciivil Status: Married

Religion: Roman Catholic

Birthday: July 5, 1969

Birthplace: Manila

Room No.: 808

Date of Admission: April 21, 2011

Attending Physician: Dr. E.R Encarnacion

Medical Diagnosis:

Chief Complaint: L sided body weakness

Medical History

A. History of Present Illness

Few hours prior to admission, patient was riding on a jeepney when she
suddenly felt numbness on the L upper extremities with accompanied L sided body
weakness. Her husband also noticed that the patient has slurred which prompted
consult hence admission.

B. Past Medical History

C. Family history
 D. Social history

The patient occasionally smoker, she smokes 1-2 sticks/day. And occasionally
alcoholic beverage drinker