mr 07082015 copy
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Transcript of mr 07082015 copy
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Morning Report
August 7th2015
Supervisor : dr. H. Doddy A. K.,SpOG(K)
Medical Students :
Rian, FeriCASE RESUME
NORMAL LABOR 1
PATHOLO!LABOR
1 G1P0A0L0 14-15 weeks with Disturbed EctopicPregnancy + seere ane!ia
" G1P0A0#0 $%-40 weeks head presentation withpro&onged "ndstage o' &abor
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(A)E 1
*a!e ,rs .Age "4 years o&d
Address /ayan L
Ad!itted 02-03-"015*o ., 52-43-15
1P0A0H0 1"#15 $ee%s $ith&istur'e& e(topi( pregn)n(* +
se,ere )ne-i)
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Ti-e Su'.e(t O'.e(t Assess-ent P/)nning
02-03-"015"05"
Patient re''ered 'ro!L G# ca!e to */G# with istur'e&e(topi( pregn)n(*)'&o-in)/ pregn)n(*$ith 13#17 $ee%s o4
)n& )ne-i) 6"gr8&L )n& $ithout'/oo& supp/* Patientcon'ess pregnant about$ !onth co!p&ainabdo!ina& pain since0600 78A 902-03-"015: ;agina& b&eeding
9-:Patient said her L,Pwas at "0thApri& "015
#istory A*( -
#istory o' 'a!i&yp&anning -
*e
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Ti-e Su'.e(t O'.e(t Assess-ent P/)nning
02-03-"015 Laboratory9"104:HB 9 31 g8&/RBC 9 2 :8u/BC 9 16"6 M8u/HCT ; 16 0Get the "nd&ine o' in'usion using *a(& highdp!
16008nCection ranitidine and ketoro&ac
16>0
(8E @a!i&y
'a!i&y agree
1?>08nCection a!pici&&in 1 gr = nu!ber 88
2000.L '&ash nu!ber ;
20>07idahes '&ash nu!ber 88
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Ti-e Su'.e(t O'.e(t Assess-ent P/)nning
"100 G( seereG() (, 9E4;5,2:/P 100=20 !!#g#. 1"0
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"$50 Genera& statusG( !oderateG() (, 9E4;5,2:/P 100=20 !!#g#. 1"0
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