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Pregnancy Complications and Management Report

1. Mrs. Afiah is a 29 year old pregnant woman, 8-9 weeks gestation, who presented to the hospital with nausea, vomiting for a week including blood in vomit, and abdominal pain. She has a history of hyperthyroidism and hypertension. 2. On examination, she had a blood pressure of 160/100 mmHg, heart rate of 120 bpm, temperature of 38.1°C. Fetal ultrasound was unremarkable. 3. She was diagnosed with an 8-9 week pregnancy, history of ectopic gestation, and hyperthyroidism. Her treatment plan included IV fluids, antacids, antiemetics, vitamins, and consultation with

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Rully Syahrizal
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53 views5 pages

Pregnancy Complications and Management Report

1. Mrs. Afiah is a 29 year old pregnant woman, 8-9 weeks gestation, who presented to the hospital with nausea, vomiting for a week including blood in vomit, and abdominal pain. She has a history of hyperthyroidism and hypertension. 2. On examination, she had a blood pressure of 160/100 mmHg, heart rate of 120 bpm, temperature of 38.1°C. Fetal ultrasound was unremarkable. 3. She was diagnosed with an 8-9 week pregnancy, history of ectopic gestation, and hyperthyroidism. Her treatment plan included IV fluids, antacids, antiemetics, vitamins, and consultation with

Uploaded by

Rully Syahrizal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

1. Mrs.

Afiah /29 th
MRS tgl. 23-03-2017 pkl. 22:15 WITA

Subjective :
Patient came to hospital with nausea and vomitting
since a week ago. She vomit 5-10 times a day,
recently there is blood stain in the vomits. She also
felt pain in epigastrium.

R/ ANC : twice at midwife


R/ Contraception : Calendary
History of illness : Hyperthyroid on treatment,
Hypertension
Family History : Hypertension

1
LMP : 28-1-2017
8-9 wks
BE : 04-11-2017

Menstruation History
Menarche : 12 years old
Menstruation Cycle : 28 days, for 7days, dysmenorrhea
(-)

Married : 1x For 9 years

Obstetrical History :
1. 2008/
aterm/[Link]/Midwife/Male/2500g/alive
2. 2015/aterm/[Link]/Midwife/Female/290
0g/alive
Objective of VK ( 23-3-2017 pkl. 22:15):

Main status

GCS: E4V5M6 A(-) I(-) C(-) D(-)


BP: 160/100 mmHg HR: 120x/mnt RR: 20x/mnt Tax:
38,1oC
Cor : S1/S2 single, murmur(-), gallop(-)
Pulmo : ves(+/+), rh(-/-), wh(-/-)
Extremity:, edema (-)

Obstetrical Status
FU unpalpable

3
Diagnosis:
G3P2A0 8-9week + HEG + Hyperthyroid

Planning:
IVFD RL 20 tpm
Inj. Ranitidin 2x1
Inj. Ondansetron 3x1
Drip Neurobion 1x1
Pro Consult Internist
Check FT4,T3

4
Hasil Laboratorium
23/03/2017
Hb 12,0 g/dl
WBC 3500/ul
PLT 166rb/ul

Hct 38.9 %

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