Obstestrics 성균관대학교 의과대학 m5 손의영 Pt ID : 17001406 주 0 희 37/F.

Slides:

Advertisements

Similar presentations

HISTORY IN OB/GY AHMED ABDULWAHAB.

Advertisements

Complications of Pregnancy Author: Evelyn M. Hickson, RN, MSN, CNS, WCC.

The First Stage of Labor

Infection & Preterm Birth. Objectives Understand magnitude of problem of PTB. Gain understanding of role of infection in spontaneous PTB. Overview of.

Periodic Woman Screening Sheet By Periodic Woman Screening Committee January 2010.

Obstetric Hemorrhage Abike James MD Assistant Clinical Prof. Obstetrics and Gynecology University of Pennsylvania.

Guidelines for Treating Acute GYN Illnesses

* Antipartum hemorrhage : -affects 3-5 % of pregnancies -bleeding from or into the genital tract Occurring from 20 weeks of pregnancy and prior to the.

Abdominal pain complicated 3 rd trimester pregnancy AUTHOR DR. PAULIN NG REVISED BY DR. WONG HO TUNG OCT, 2013 HKCEM College Tutorial.

Pretem Labor Ramzy Nakad, MD.

Perinatal Safety Initiative: Eliminating Elective Delivery

Obstetric Haemorrhage Obstetric Emergencies Empangeni Hospital 28th July 2000.

Obstetric Hemorrhage Anne McConville, MD

Placental Abruption Liu Wei Department of Ob & Gy Ren Ji hospital.

THE FINAL WORD: Obstetric and Gynecologic Diagnostic Nomenclature PHILIPPINE BOARD OF OBSTETRICS AND GYNECOLOGY and COUNCIL FOR RESIDENCY EDUCATION ENHANCEMENT.

ANTEPARTUM HAEMORRHAGE. Obstetric Haemorrhage  Ranks as the First cause of maternal mortality accounting for 25 – 50 % of maternal deaths.

June 22, 2015 Cindy Mitchell OB TEAMS CALL BIRTH CERTIFICATE OPTIMIZATION INITIATIVE.

OBJECTIVE STRUCTURED CLINICAL EXAMINATION “OSCE”

Endomatritits Al-Najah univercity Nursing college Prepared by :

Normal Labor and Delivery

Rupture of uterus Ob & Gy Department, First Hospital, Xi’an Jiao Tong University SHU WANG.

Parenting & Child Development

Case Studies November 19-20, 2009

TRANSITION SERIES Topics for the Advanced EMT CHAPTER Obstetrics (Antepartum Complications) 44.

Diseases and Conditions of Pregnancy pre-eclampsia once called toxemia –a pregnancy disease in which symptoms are –hypertension –protein in the urine –Swelling.

성균관대학교 의과대학 손의영. Chief Complain 이 O 연, F/71 Abnormality of Chest X-ray.

Bleeding in Early Pregnancy

Case 1 ALSO(UK) June Helens Story Helen is a 30 year old woman G2 P0 at 32 weeks gestation Presents with a history of : Abdominal pain - started.

Vaginal Birth after C-section

Intraoperative surgical complication during cesarean section : an observational study of the incidence and risk factors 부산백병원 산부인과 조인호 Acta Obstet Gynecol.

Placenta Abruption (abruptio placentae)

Obstestrics 성균관대학교 의과대학 m5 손의영 Pt ID : 김 0 경 30/F.

Placenta previa Placental abruption

Gynecology 성균관대학교 의과대학 손의영

Dr. Yasir Katib MBBS, FRCSC, Perinatologest Dr. Yasir Katib MBBS, FRCSC, Perinatologest.

성균관대학교 의과대학 손의영. Chief Complain 김O식, M/83 Dyspnea Onset : 2 weeks ago.

Placenta Previa Liu Wei Department of Ob & Gy Ren Ji hospital.

Developed by D. Ann Currie RN, MSN  Version  Cervical Ripening  Induction / Augmentation  Amniotomy  Amnioinfusion  Episiotomy  Assisted Vaginal.

Introduction to OB/Gyn Rotation (481 GYN) History Taking in OB/Gyn

TIME OF DELIVERY IN HYPERTENSIVE DISORERS OF PREGNANCY Laleh Eslamian MD. Prof. of Obstet & Gynecol Perinatologist, Shariati hospital, TUMS.

Abruptio placenta. Placenta previa. Vasa previa unexplained Cervical polyp. Cervical erosion. Cervical cancer. All patients with bleeding in pregnancy.

Antepartum Hemorrhage Family Medicine Specialist CME University of Health Sciences.

1 Clinical aspects of Maternal and Child nursing NUR 363 Lecture 4 Intrapartum complications.

Maternal Health at the District Hospital Family Medicine Specialist CME Oct , 2012 Pakse.

SMFM Clinical Consult Series

TWINS Topic Conference LU VI Block 10 Tindoc.Tugano.Urquiza.Uy.Velasco.Ventigan.Ventura.Verdolaga. VillanuevaM.VillanuevaR.Visperas.Y abut.Yambot.YapB.YapJ.

1 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Chapter 3 Antenatal Assessment and High-Risk Delivery.

Gynecology 성균관대학교 의과대학 손의영. Chief Complain 정 O 록, F/76 외부 건강 검진상 발견된 이상소견 Onset : 1MA.

OBJECTIVE STRUCTURED CLINICAL EXAMINATION “OSCE” (Gynecology)

Pregnancy Complication -- Antepartum Haemorrhage Case Senario.

DR. MASHAEL AL-SHEBAILI OBSTETRICS & GYNAECOLOGY DEPARTMENT

Placenta Previa Ob & Gy Department, First Hospital, Xi ’ an Jiao Tong University SHU WANG.

Obstetrical Emergency: Placental Abruption Kelsie Kelly, MD, MPH University of Kansas Department of Family Medicine Partially supported.

Seoul National University Hospital 우상복부 종괴을 주소로 내원 한 65 세 남자환자 서울대학교병원 소화기내과 이상협, 박주경, 윤원재, 이준규 류지곤, 김용태, 윤용범.

Obstetrics and Gynecology Clerkship Case Based Seminar Series

VASAPREVIA and VELAMENTOUS PLACENTA

Liu Wei Department of Ob & Gy Ren Ji hospital

Chapter 5 Diseases of Pregnancy

Infection & Preterm Birth

History taking in obstetrics and obsterical examination

The Partograph 1.

Obststric Haemorrhage Obstetric Emergencies

Placenta previa 前置胎盘.

Antepartum haemorrhage

Overview of Prenatal Care

Stages of Labor 3.03.

Premature rupture of membranes (PROM)

Ante-partum Hemorrhage

PLACENTA PREVIA Lin Qi De.

Presentation transcript:

Obstestrics 성균관대학교 의과대학 m5 손의영 Pt ID : 주 0 희 37/F

Chief Complain Amenorrhea for weeks w/ vaginal bleeding Onset : PM 09:00 부증상 : previous C-sec Large for Gestational Age

Obstetric History Para : (1) - (0) - (1)(1,0) - (1)(1,0) 최종 월경 시작일 : 분만예정일 :

Present Illness Routine OB Lab : 특이사항 (No) HBsAb/Ag (+/-), Rubella IgG/IgM (+/-) Last Pap : 특이사항 (No) Serum screening test : Quad test 결과 (+) Down syndrome Amniocentesis : Karyotype ( Normal) 50g OGTT : ▲ 181mg/dL 100g OGTT : ( )mg/dL CBC : 특이사항 (No)

Present Illness Vaginal bleeding 2 회로 ER 내원, 경과 관찰 후 퇴원 (PA29+2wks) (PA32+2wks) (PA38+5wks) 오버나이트 패드에 1/3 blood clot 양상으로 피비침 있어서 r/o Placenta previa partialis 의심하에 본원 응급실 통하여 입원. Speculum exam : 2x2cm sized blood clot, mild bleeding, no erosion on cervix Labor feel / pain (-/-)

Other History PMHx. HTN/DM/Tb/hepatitis/Allergy ( - / - / - / - / - ) 약물력 : (No) 수술력 : AIS -> Conization at SMC by F. 김태중 Uterine cervix, conization: Chronic cervicitis with squamous metaplasia and mild glandular atypia FHx. 당뇨 : (+) 고혈압 (-), 유전질환 (-) SHx. Marriage : 기혼 smoking: no alcohol: no

Review of System Obstetric symptoms Fetal movement (Yes) Uterine contraction (No) Vaginal bleeding (Yes) Watery vaginal discharge (No) General symptoms 임신 전 체중 : 67kg 현재 체중 : 83kg 그 외 이상 소견 없음

Physical Exam General appearance Not so ill looking Mental status : Alert Abdomen Palpitation : Distended d/t pregnancy Tenderness (No) Rebound tenderness (No)

Physical Exam 산과 진찰소견 FHR : Normal by USG Presenting part : Cephalic Rupture of membrane ( No) Vaginal bleeding (Yes) : amount – 오버나이트 패드 1/3 적시는 정도 for 1hr

Assessment Pregnancy : 주 ( 기준 ) R/O placenta previa

Plan 진단계획 USG NST Check vaginal bleeding 치료계획 Elective or Emergent C/sec 6/16 Time C/sec 퇴원계획 수술 후 합병증 없을 시 PP#4 퇴원

Hospital Course (38+6 weeks) C-sec : Emergent Low segment transverse Baby 1 남아 (4.29)kg APGAR Score : 1min 9pts, 5min 9pts MS (0) CN (1) GA ( No) 분만시간 : 11:18 NR 수술후 진단명 Placenta previa marginalis Previous cesarean delivery Macrosomia s/p conization