Patient's Profile

Patient's name: Ogayon, Christian Vibar

Age: 11 years old
Date of birth: October 4, 1998
Status: Child
Address: NPC Area B talipapa Caloocan City
Nationality: Filipino
Religion: Roman Catholic
Parents:
Father: Crisanto Ogayon
Mother: Susan Ogayon
Admitting Diagnosis: Necrosis 3rd 4th toes left foot
Date of Admission: january 7, 2010
Time of Admission: 6pm
Admitting Physician: Santos, Rome ( orthologist )
 Anatomy and physiology

1. Anatomical structure
2. Physiology

A. General function:

 Protection

 Sensation

 Fluid balance

 Temperature regulation

 Vitamin D production

 Immune response

B. Structure

1. The skin. The body's largest organ

3 layers of skin:
Layers function
a. Hypodermis - innermost layer
- provides cushion between the skin layers and the muscles and
the bones.

b. dermis - Middle layer

- comprises collagen fibrils that that provide mechaniacal
strength to the skin
- contains blood vessels, nerves, lymphatic, hair follicles, and
sebaceous and sweat glands
- two layers:

a. papillary layer – composed of loose connective tisssue,

small elastic fibers, and an extensive fibers, and an extensive
network of cappillaries.

b. retticular layer – forms a dense of vascular connective

tissue that includes nerves and lymphatic tissue.
c. Epidermis
2 main types of
cells:
a.1. - produce melanin, a pigment that shields deeper skin
Melanocytes structures from sunlight
- develop from cells in the basal layer and then mature and
b.1. move to the skin surface where they flatten, dehydrate and
Keratinocytes become keratinized.

2. Epidermal Appendages are formed from the epidermal cells located in the
epidermis and dermis.
a. Hair – composed of 3 layers
a.1. Medulla
a.2. Cortex
a.3. Cuticle
b. Nails – covers the distal portion of the digits.
c. Sebaceous glands – secrete sebum, a complex lipid mixture that empties
into hair shaft .
d. Sweat glands
d.1. Apocrine glands – they responnd to the autonomic, rather than
thermal, stimulation.
d.2. Eccrine glands – produce sweat glands which functions as
thermoregulation and other processes.
 Laboratory Results

Hematology

Components Results Normal Values Interpretation

WBC 15.1 5-10 Above normal, +
infection

Hemoglobin 114 120—170g/L below normal,

anemia
hematocrit 0.347 0.38-0.48
below normal,
anemia
Differential count:

lymphocytes 0.23 2-35% Below normal,

anemia
neutrophils 0.74 0.45-0.73
above normal,
acute infection
monocytes 0.02 0.02-0.08
normal,