Ob Write Up

Patient: CI, 28 years old, female, Filipino, married, Catholic, from Quezon City. Source of Information: aid physician and patient chart Chief Complaint: bloody vaginal discharge of 2 days register of Present Illness: 3 weeks PTA The patient underwent a dilatation and curettage procedure for a missed stillbirth. 2 days PTA Patient noted intermenstrual eject which was aggravated by movement and by changing positions. The haemorrhage was described to be dark red clots and was accompanied by hypogastric pain radiating to the back. She took Tranexamic Acid for the bleeding. There was no fever, vomiting, or dysuria. Persistence of the problem prompted her to seek consult.

Review of Systems General: (-) fever, lading loss HEENT: (-) headache Respiratory: (-) dyspnea, cough Cardiovascular: (-) palpitations, chest pains Gastrointestinal: (-) nausea/vomiting, qualifying in bowel habits, rectal bleeding Genitourinary: (-) nocturia, frequency Obstetric-Gynecologic History: onset of menarche was at 11 years old, occurring irregularly, stick outing 7 days No accompanying symptoms LMP: Last week of July 2010 Pregnancy History Age of offset pregnancy: 28 Primigravid G1P0 GravidaOutcomeDateAOG 1Missed abortion20106 and 6/7 weeks Vaginal and Pelvic Infections usual UTI (>10 times) No vulvar pruritus, no leukorrhea Gynecologic Surgical Procedures dilatation and curettage (October 2010) Sexual History Active sexual life, first congress is at 22 years old Number of partners: 1 No dyspareunia incumbrance History No contraceptive use Past checkup History: Medical History There is no other medical conditions (PTB, DM, HPN) (+) bronchial asthma, no medications taken for the last attack (no date of last attack) No known food and drug allergies Surgical History No history of surgery other than the d&c. personalized and Social History: The patient is a non-smoker, non-alcoholic beverage drinker,... If you ask to get a full essay, order it on our website: Ordercustompaper.com

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