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Saint Louis UniversityCollege of Nursing _______________ GESTATIONAL TROPHOBLASTIC DISEASE (GTD)Or HYDATIDIFORM MOLE (H Mole) _______________ A Case Study Presented To:Mrs. R. OchocoLevel III Clinical Instructor  ________________ In Partial Fulfillmentof Related Learning Experience(RLE) ________________ Submitted By:ALCANTARA, N.CERIACO, C.EGALLA, F.MACAYAN, A.SORIANO, M.ZARATE, M.BSN III-K1November 24, 20
07
 
I.
PATIENT’S PROFILE 
 
Name: Mrs. M. T.Address: Asocong Gusaran, Kabayan, BenguetCivil Status: MarriedBirth date: 23-May-1978Age: 29 y/oNationality: FilipinoReligion: Roman CatholicAdmission:Date: 09-Nov-2007Time: 11:20 AMAdmitting Clerk: F. C. ForosanAttending Physician: Dr. Paggao, Dr. CariagaAdmitting Diagnosis:G
2
P
1
(1001) Gestational Trophoblastic DiseaseChief Complaint:H mole.History of Present Illness:The patient was apparently well until 2 months prior to admission when the patient notedhyperactive pain with associated profuse vaginal bleeding. Consult was done into another institution where the patient was a manifest as a cause of abortion. The patient wasdischarged; improved after seven hospital days and was given the following homemedicines: Amoxicillin 500 mg TID, Methyl dopamine 250 mg 1 tab BID, and Isoxsuprine.On follow-up, ultrasound was done revealing H mole. The patient was then referred intothis institution for further management and work-up.Past Medical History:September 2007: Bokod, Benguet; threatened abortion.2006: Normal Spontaneous Delivery to a live fetus (male) delivered by a Barangay HealthWorker.No other known general medical condition.OB-Gyne History: OB Score: G2P1 (1011)G
1
: 2006, NSD to a live term (M) by a BHW, house delivery.G
2
: present pregnancy.No known gynecologic illness
 
Patient’s Diagnostic Results:ResultReference Valuea. BUN-Crealow ALT = 25 u/L30-65 u/Llow Crea = 32.1 umol/L53-88 umol/Lb. Hematologylow Hgb = 113 g/L120-160 g/Llow Hct = 0.33 u/L0.37-0.47 u/Lhigh WBC = 10.35-10x10
9
/Lc. Immunochemicalhigh free t
4
= 1.96 mg/dL0.71-1.85 mg/dLlow ultrasensitive hTSH II Gen0.49-4.67 mIU/mL= <0.02 mIU/mLd. Chemiluminiscent Immuno-assayshighb-hCG = 364,000 mIU/mL0-5.0 mIU/mLe. UTZno gestational sac; uterusenlarged; multiple anechoic areaof varied sizes seen interspersedin the H mole
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genaganda

thank you.. helped me a lot. =)

reply03 / 08 / 2010
Chedan B. Ceriaco

You're welcome, genaganda.

03 / 15 / 2010
aldrinejava

makatabang ni sa atoa guys..

reply01 / 29 / 2010
ezrajean

THAnks po heheheh

reply11 / 24 / 2009
Chedan B. Ceriaco

You're welcome ezrajean.

12 / 06 / 2009
tiffanald

thanks so much!

reply10 / 02 / 2009
Chedan B. Ceriaco

You're welcome tiffanald.

12 / 06 / 2009
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