DEMOGRAPHIC DATA

Name: Patient K

Age: 16

Sex: Female

Birthday: September 2, 2006

Birthplace: Cauayan City, Isabela

Marital Status: Single

Religion: Roman Catholic

Address: San Fermin Cauayan City, Isabela

Race: Filipino

Ethnic Origin: Ilokano

Educational Attainment: High School Undergraduate

Primary Language Spoken: Tagalog

Significant Others or support person: Mother

Source of Data

CHIEF COMPLAINT
The patient experience eye ache when exposed to a gadget for a long period of time for about five
minutes long and rated the pain 6 out of 10.
FAMILY HEALTH HISTORY

The grandparents of Patient K on the father's side, her grandmother is years old and living healthy, and
her grandfather died at the age of due to. On her mother's side, her grandmother is 68 years old, has
hypertension, and was diagnosed with early cataracts. Her grandfather is 70 years old, diagnosed with
Chronic Kidney Disease, undergoing dialysis, and also diagnosed with early cataracts.

Patient K and her sisters were born through cesarian delivery, and after giving birth to the three of
them, her mother decided to undergo tubal ligation. The three of them received complete vaccines when
they were a child, and now, they also received the CoViD-19 vaccine.

Her mother is 42 years old and has hypertension, her father is 44 years old and living healthy same
with the other family members. Her eldest sister has a history of confinement due to UTI, and her
youngest sister also has a history of confinement due to pneumonia.

In the line of their family, they have no history of eye or hearing problems. They only experienced
common illnesses like cough, cold, fever, and diarrhea, which they treated by taking over-the-counter
drugs like paracetamol and loperamide or herbal medicine such as lagundi or oregano.

PRESENT HEALTH HISTORY

Patient K had blurry vision before, and now her vision become more blurry gradually, even when
using her eyeglasses. Patient K experienced eye pain when using a phone for about 3-4 hours straight
without resting her eyes. Thus, she stated that she would only stop using her phone when going to take a
bath or eat. The pain she felt arose gradually, and the pain she felt was about 6 when rated it. To alleviate
the pain, she would then take a nap for about 30 minutes to 1 hour, and then after waking up, she would
use her phone.

On the 22nd day of July, Patient K stated that her eye hurt because she had been in front of her phone
for a long time. After waking up, she would use her phone and spend 1-1 and a half hours before getting
out of bed. Then after doing her chores, she would face her phone until late afternoon, stop to take a bath
and eat, then spend her night reading or watching on her phone until late at night with the light if her
room turned off. Patient K always complained about her eyes hurting yet, she still spends a lot of time on
her phone, and stated that even if she wears her eyeglasses her vision is still blurry.
PAST HEALTH HISTORY

When Patient K was born, they noticed a nodule in her right ear, and they did not remove it because it
did not cause harm to her. Patient K used to habitually touch the nodule when drinking milk and when she
was about sleep. Her habit was removed as she grew up, and now her nodule was still in her ear, and it
did not cause any harm or damage to her hearing.

In the year 2019, every morning, Patient K felt like vomiting for about three days straight. A co-
worker of her father stated that she should get a check-up because that happened to one of her daughters
before. The vomiting incident continued, and Patient K felt weak and was not able to eat or drink milk
because Patient K was acidic. Because of that, her mother decided to go to a clinic for a check-up, but
during the check-up, they noticed that Patient K was severely weak, and her lips looked pale, then opted
to admit her to the hospital for about four days. A few days after being discharged from the hospital,
Patient K and her mother went to an eye clinic and got her eye tested. After a few days, she was given
corrective lenses and learned she had astigmatism. After Patient K got her glasses, she never experienced
vomiting or dizziness.

In the year 2020, Patient K was given another pair of eyeglasses with a higher grade because she spent
a lot of time in front of her phone. Patient K has changed her eyeglasses four times because her grade
gradually increased.

PERSONAL HISTORY

Patient K was up around 4 in the morning when she had classes, but now it's her vacation, and she
usually wakes up around 7 or 8 in the morning. She would grab her phone and spend an hour or two
browsing or watching on Facebook before getting up at 10, where she sometimes skips eating breakfast
and would only consume biscuits. She would then do her designated chore, and after that, she would
either use her phone or watch the television until 12. When she finished eating lunch, she would use her
phone for three to four hours, and if felt her eyes hurting, she would then stop and would take a nap for
about an hour, then use her phone again until evening and stop when bathing and eating. At night, she
usually reads stories or watches on her phone until late evening without letting her eyes rest.

Patient K usually eats half a cup of rice and a fourth serving of Viand. She does not like eating
vegetables except for squash, moringa, string beans, and eggplant. Ever since she was a child, she has
only eaten a little amount of food which made her underweight until now. Patient K only eat a little rice
and viand, but she ate a lot of snacks. Her current BMI is 14.67 which is classified as underweight.
 For water consumption, she usually drinks around 5 to 6 glasses of water a day. Although she is acidic
she sometimes drinks milk and coke even if it is not good for her. When she felt like vomiting due to
consumption of milk or coke she would only drink water, lie down and use her phone or would take a
nap.

In terms of elimination, Patient K usually voids around 5 times a day and 2 times before going to bed.
When it comes to fecal elimination, she goes to the once-a-day and four times a week.

SOCIO ECONOMIC HISTORY

They are living in San Fermin Cauayan City, Isabela. Patient K is living in their concrete house with
galvanized roof and balcony. In their 400 square meter lot was their house and grandparents' house, which
has a 1m distance from them, a parking lot, and a front-yard full of flowers, thus a mini garden grotto.
Their house consists of a kitchen near their dining table, they use a gas stove when cooking viand and
rice, but usually, they use the rice cooker to cook rice, a receiving area, two rooms, a bathroom with a
flush-type toilet, and a heater.

They have a 32-inch television, a laptop, a printer, an oven toaster, a washing machine, a dryer, a
refrigerator, an electric oven toaster, and ceiling fans. They have a four-wheel car, a tricycle, and a single
motor.

Patient K lives in a 6x6 house, but she sleeps at her grandparents' house, which is a meter away. She
shares the room with her two sisters. Her older sister is 19 years old, and her younger sister is 13.

In terms of disposal, Patient K, and his family dispose of their garbage outside their house at the side
near their house, which is approximately 3 meters, and burn all the waste after the afternoon. Though at
times they discard their garbage at the dumping site for the garbage truck to pick up. For water resources,
they receive water from their water district station and a poso when doing laundry. When it comes to
drinking water, they drink mineral water, which they buy from the water refilling station.

Patient K's father was 43 years old and working as a family driver in a lumber and construction supply
company, he worked there for 21 years, and his monthly income was 12,000. Her mother was 41 years
old and a house