D. G.

, 4 ½ years old, Male, was admitted at the UST Hospital PD- San
Alberto Ward last January 9, 2011 (9:15pm). The primary informant, with
98% reliability for the interview was the mother. Patient is a Filipino Catholic,
and the second of two children, living in Sta. Mesa, Manila.

With a weight and height of 35kg and 111cm respectively, the patient
was considered to be obese. He has a past history of asthma and allergic
rhinitis. Furthermore, patient was previously admitted at the USTH-PD last
2008, as he was diagnosed to be allergic to cow’s milk, otherwise, he had no
other hospitalizations, surgeries, or recent exposure to infection. As for his
family history, both parents have histories of Hypertension.

A few hours PTA, pt. had abdominal pain accompanied by vomiting if

previously ingested food. He has no diarrhea or fever, but had a history of
passage of hard brown stools. He came with a chief complaint of abdominal
pain at the periumbilical area, and had an admitting diagnosis of fecal
impaction. Fleet enema was provided and the patient was placed on NPO.

On his third day of admission, patient still had an elevated blood

pressure, but otherwise, normal vital signs. However, compared to his 2nd
day of confinement, the number of bloody stools passed, as well as his
vomiting were reduced from 3-4 times to once, and 4-6 times to 2-3 times
respectively.

Patient still has intermittent abdominal pain, but was also significantly
reduced in terms of interval and duration, compared to the previous day.
From about 5-15 minutes the other day, the patient’s pain interval improved
into about 40-60 minutes during his third day.

The patient was supposed to undergo colonoscopy, but after a skin

rash started to appear on his upper thigh during his second day, he was
diagnosed and confirmed to have Henoch–Schönlein purpura (HSP) or
anaphylactoid purpura, having him placed under methylprednisolone (Solu-
Medrol) as part of his steroid therapy.

Shera Lee B. Aquino

II-I RLE 3
 D. G., 4 ½ years old, Male, was admitted at the UST Hospital PD- San
Alberto Ward last January 9, 2011 (9:15pm). The primary informant, with
98% reliability for the interview was the mother. Patient is a Filipino Catholic,
and the second of two children, living in Sta. Mesa, Manila.

With a weight and height of 35kg and 111cm respectively, the patient
was considered to be obese. He has a past history of asthma and allergic
rhinitis. Furthermore, patient was previously admitted at the USTH-PD last
2008, as he was diagnosed to be allergic to cow’s milk, otherwise, he had no
other hospitalizations, surgeries, or recent exposure to infection. As for his
family history, both parents have histories of Hypertension.

A few hours PTA, pt. had abdominal pain accompanied by vomiting if

previously ingested food. He has no diarrhea or fever, but had a history of
passage of hard brown stools. He came with a chief complaint of abdominal
pain at the periumbilical area, and had an admitting diagnosis of fecal
impaction. Fleet enema was provided and the patient was placed on NPO.

On his third day of admission, patient still had an elevated blood

pressure, but otherwise, normal vital signs. However, compared to his 2nd
day of confinement, the number of bloody stools passed, as well as his
vomiting were reduced from 3-4 times to once, and 4-6 times to 2-3 times
respectively.

Patient still has intermittent abdominal pain, but was also significantly
reduced in terms of interval and duration, compared to the previous day.
From about 5-15 minutes the other day, the patient’s pain interval improved
into about 40-60 minutes during his third day.

The patient was supposed to undergo colonoscopy, but after a skin

rash started to appear on his upper thigh during his second day, he was
diagnosed and confirmed to have Henoch–Schönlein purpura (HSP) or
anaphylactoid purpura, having him placed under methylprednisolone (Solu-
Medrol) as part of his steroid therapy.

Shera Lee B. Aquino

II-I RLE 3