MR 29 Des 2015

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    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

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    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

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    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

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    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'

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    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

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    )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

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    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