Present Health Illness

On November 17, 2023, the patient is known of

Schizophrenia, with five prior admissions. Last October to
November 2022, he has no OPD follow-up done. The patient
is non-compliant to medication except to Chlorpromazine
and other medications that make him feels like a robot. The
patient would get irritable to his mother saying she is getting
money from Trump, Biden, Pacquaio, and Villar. The patient
has instances of knocking on the mothers head few days
prior the admission. The patient is holding a knife saying he
will stab his father, siblings and cousins.

On November 18, 2023, it was noted that his Fasting Blood

Sugar and his Cholesterol level has increased so his LDL
increased but his sodium decreased. The patient started
taking metformin 500mg 1 tab PO BID, Gliclazide 80mg 1
tab OD, Fenofibrate 160mg 1 tab OD and oral rehydration
salt in 1 sachet in a h glass of water. Then on the Nov. 20,
2023 fenofibrate shifted to Rosuvastatin, then his sodium
has been normalized last Nov 23, 2023.

The patient is diagnosed case of Schizophrenia last Oct. 17

2022. The last admission was 201 9, since the discharge of
the patient he has fair compliance with his medication 2
months prior to admission. The patient was observed to
have labile mood, easily angered, received an energy with
auditory hallucination and delusion of working in the USA.

1 month prior to admission he became more aggressive and

would push his mother with anger. He was aggravative and
was brought for consult, ideally, he is for admission but
there was no vacancy. The patient behavior worsened and
was brought for admission when his mother learned that
there's may be vacancy.

The patient has 4 previous admission last July 2019-

January
22 yet has no specific information in the chart