health history.mgppt 2008

8/13/2019 Health History.mgppt 2008

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Presented by:

Estrada, Jay Mart A.Layno, Jaclyn C.

Martinez, Gladys E.

Ortizano, Monroe S.

Ramos, Maria Kristina P.

Sta. Ana, Yra Gwyneth Virginia P.

Presented to:

Staff of Davao Medical Center


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Myasthenia Crisis is an exacerbation of Myasthenia Gravis. It

is characterized by severe generalized muscle weakness and

respiratory and bulbar weakness that may result in respiratory failure.

Myasthenia Crisis is the life threatening complication of

Myasthenia Gravis- an autoimmune disorder affecting the

myoneural junction, characterized by varying degrees of weakness

of the voluntary muscles.

Statistics:

Affects 1 per 250,000 persons through out the world.

* 15- 20% suffers to Myasthenia Crisis

* 65% pts, primary cause is infection

13, 600 people is USA who are reported to have MG.

4, 312 reported cases in the Philippines.


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Health of Present Illness

Time Event Actions

3 days PTA Productive cough and colds Didnt take any medications

for cough

Increased fluid intake

Ptosis Wore sunglasses

9 hrs PTA Sudden onset of dyspnea and

difficulty swallowing

Sat on orthopneic position

9:00pm Attempted to sleep but failed Ask her sister to massage her

back and extremities, while

applying Efficascent oil.


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1:00 am Able to sleep

4:00 am Woke up due to worsening

condition

Decided to seek consult

5:00am Arrived in DMC emergency

room, ambulatory

O2inhalation @ 3Lpm/nc

Venoclysis started with D5LR 1L @

120cc

Blood specimen taken

Pyridostigmine 65mg/ tab

Hydrocortisone 100mg IVTT given

Relieved with her S/sx

9:35 am Dyspnea reoccurred Increased O2inhalation to 6Lpm

Pt. was relieved with her S/sx


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Date Event Action

April 2007 Difficulty swallowing, speaking,

Inability to expectorate, easy

fatigability

Sought consult @

Conpinco Clinic @ Tagum

City

Prescribed with

unrecoilled medications

& vitamins

Decreased work duties

from 12hrs. to 8 hrs.

May 2007 Body weakness, Ptosis &

Photosensitivity

Rest

Wear sunglasses

History of Past Illness


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November 2007 Difficulty breathing/

dyspneaParalysis and slurring

of speech

Admitted @ DRH

Intubated for 2 daysNGT inserted

PrescibedPyridogtismine

65mg/tab T.i.d. &

prednisone 20mg 1tab

B.i.d.

February 2008 Dysphagia & Ptosis Admitted @ DMC

Discharged after 3 days


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Paternal Maternal

?? ?? ??

Mr. Z Ms. Z Mr. Y Ms. Y

Ms. XMr. X Ms. B Ms. D

Ms. Flor,

29

Ms. P, 27

Ms. S, 27

Mr. A Mr. C

Mr. E, 51 Mr. G, 47

Mr. F, 49

Mr. J, 43

Mr. H, 45

Mr. L, 31Mr. K, 37

-Male

-female

-Unrecalledgender

- Pt.

-CAP

-MG

-HTN

-Smoker

-Alcoholic

drinker-Unrecalled #

of siblings

-Neonataldeath

-Insomnia

-unrecalled cause ofdeath -Drug-induced

mental illness

? - No known Info.


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health history.mgppt 2008

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