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7/25/2019 MR 29 Des 2015
1/7
MORNING REPORT
Tuesday, December 29th, 2015 at 03.30 PM
!ed"esday, December 30th, 2015 at 0#.00 $M
Phys%&'&(%c &bstetr%ca' )at%e"t * +1 case
Path&'&(%c &bstetr%ca' )at%e"t * cases
Gy"ec&'&(%ca' )at%e"t * + cases
Passed $ay * + cases
T&ta' )at%e"t * cases
Obstetr%c ard )at%e"ts * 1# )at%e"ts
Gy"ec&'&(y a"d O"c&'&(y ard )at%e"ts * 2- )at%e"ts
I/ )at%e"t * 2 )at%e"tsT&ta' Pat%e"ts * # )at%e"ts
OTETRI
1
.
22.12.2015 due t& 4D Pu'm&"ary 6y)erte"s%&"
Mrs.7IT8308/$8 $7+
0#.30 PM D8 G1P0$0 32 eees (estat%&"a' a(e "&t %"'ab&r %th se:ere
)reec'am)s%a )art%a' 6EP sy"dr&me :e"tr%cu'ar se)ta'
de;ect Pu'm&"ary hy)erte"s%&" 7 ce)ha'%c )rese"tat%&"
BS : 2
GI : 6
/ ER
7/25/2019 MR 29 Des 2015
2/7
m&.Dl
LDH 628.L
)rine Protein ==
=
rine catheter
ons)lt to Internal 5e+icine an+ phtalmolo&y Department
"7al)ate+ ,ith &estosis tas/
>oint care ,ith ar+iolo&y +i7ision
220$20$( 9e**eral reply *rom Internal 5e+icine :Department
'ssesment : entrical Septal De*ect = P)lmonal Hypertension
P. Di&oine $ ? tablet @mornin&A
ontin)e+ other therapy
>oin care ,ith ar+iolo&y Di7ision
23.12.15 D8 G1P0$0 32 eees (estat%&"a' a(e "&t %"'ab&r %th se:ere
)reec'am)s%a )art%a' 6EP sy"dr&me :e"tr%cu'ar se)ta'
de;ect Pu'm&"ary hy)erte"s%&" 7 ce)ha'%c )rese"tat%&"
5. "pectati7e
bser7e+ 7ital si&n FH9 contraction
IFD 9L &ttt .m
;i*e+ipine $! m&.8ho)rs
Deamethasone in
7/25/2019 MR 29 Des 2015
3/7
S)&&estion : ab+ominal +eli7ery a*ter l)n& mat)ration
ons)lt to cons)ltant in char&e :
erminate+ pre&nancy a*ter assessment *rom Pro*0Dr0'li
GhanieSp0PDE44 @>oint con*erenceA
2.12.150#.00 $M
D8 G1P0$0 3> ees (estat%&"a' a(e "&t %"'ab&r %th se:ere)reec'am)s%a )art%a' 6EP sy"dr&me :e"tr%cu'ar se)ta'
de;ect Pu'm&"ary hy)erte"s%&" 7 ce)ha'%c )rese"tat%&"
I/GR as sus)ected
5. "pectati7e
bser7e+ 7ital si&n FH9 contraction
IFD 9L &ttt .m
;i*e+ipine $! m&.8ho)rs
Deamethasone inoint care ,ith ar+iolo&y Di7ision
25.12.15 isite ons)ltant in har&e :
ontin)e the l)n& mat)ration ,ith +eametasone 6 m&.$2 ho)rs
7/25/2019 MR 29 Des 2015
4/7
2>.12.15
0#.00 $M
D8 G1P0$0 3> ees (estat%&"a' a(e "&t %"'ab&r %th se:ere
)reec'am)s%a )art%a' 6EP sy"dr&me :e"tr%cu'ar se)ta'
de;ect Pu'm&"ary hy)erte"s%&" 7 ce)ha'%c )rese"tat%&"
I/GR as sus)ected. 5. "pectati7e
bser7e+ 7ital si&n FH9 contraction
IFD 9L &ttt .m
;i*e+ipine $! m&.8ho)rs
Deamethasone inoint care ,ith ar+iolo&y Di7ision
2#.12.15
0#.00 $M
Internal 5e+icine Department
'ssessment : entric)lar Septal De*ect = P)lmonal Hypertension
G"' ,itho)t +ehy+ration
5. : 2$ 2 L
Di&oin $ ? tab
Diatab 3 2 tab
ralit $ 2 sachet
ontin)o)s other therapy
2-.12.15
0#.00 $M
D8 G1P0$0 3> ees (estat%&"a' a(e "&t %"'ab&r %th se:ere
)reec'am)s%a )art%a' 6EP sy"dr&me :e"tr%cu'ar se)ta'
7/25/2019 MR 29 Des 2015
5/7
de;ect Pu'm&"ary hy)erte"s%&" 7 ce)ha'%c )rese"tat%&"
I/GR as sus)ected
5. "pectati7e
bser7e+ 7ital si&n FH9 contraction
IFD 9L &ttt .m ;i*e+ipine $! m&.8ho)rs
Deamethasone in
7/25/2019 MR 29 Des 2015
6/7
)rese"tat%&" I/GR as sus)ected
$!03( P5 ons)lt to cons)ltan in har&e @Dr0H0'mir Fa)iSpG@4A
S)&&est : 'b+ominal +eli7ery
ons)lt to 'nestesiolo&y Department
ons)lt to Internal 5e+icine Department ons)lt to I
!203! '5
PI
ub cur:e
5ale li7e baby ,as born B# $6(! & BL 1$ cm 'S 6. P SG'
!203( '5
PI
Placenta ,as +eli7ere+ completely P# 2%! & )mbilical cor+ len
13 cm $1 $( cm0
he 5other is in I an+ the baby is in ;I
2
.
30.12.15 P'a" ;&r :a(%"a' de'%:ery
Mrs. N/R8308R$8ED
!60!! '5
cm
D. G$P!'! 1! ,ee/s &estational a&e inlabor $st acti7e phase ,i
history o* 95 $ +ays SLF cephalic presentation
ontraction:
1.$!J.1!JJ5. bser7e+ FH90ital si&ncontraction
IFD 9L &tt .mnt
e*triaone in< 2$&r. I
Laboratory eamination
P. a&inal +eli7ery
3 3!0$20$(
!60$( '5
P'a" ;&r abd&m%"a' de'%:ery
Mrs. NI$8308R$8EDP
IG: % D. G2P$'! 1! ,ee/s &estational a&e inlabor ,ith prolon&e+ 2n+ s
o)tsi+e= se7ere pree/lampsia SLF 7erte presentation
5. Stabiliation $ ho)rs
bser7e+ FH90ital si&ncontractionIFD 9L &tt .mnt
In< 5&S1 1!K C proto/ol
;i*e+ipine 3 $! m&.8 ho)rs
Poly catheter
Laboratory eamination
ons)lt to internal=ophtalmolo&y Departement
7/25/2019 MR 29 Des 2015
7/7
ons)lt 'nastesi
P. 'b+ominal Deli7ery
1 3!0$20$(
!603! '5
Ge"era' c&"d%t%&" %m)r&:me"t
Mrs /R808R$8E
D.P$ '! post LSS % +ays o)tsi+e ,ith )rinary retention an+ s)b
ile)s ,as s)specte+
5.. bser7e+ 7ital si&n
IFD 9L +rops.m
Laboratory eamination
ons)lt to s)r&ery +epartement
G;'"L
G1 29-12-15
07:00 PMGeneral condition improvement
Mrs. AWI/53/RA/ARUD/ Cervical cancer stage IIIB was suspected +
moderate anemiaHb : !g/d" 5. bser7e+ 7ital si&n an+ blee+in&
IFD 9L +rops.m
Laboratory eamination
e*triaone in
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