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q{a/is ADMISSION Nore; SC: Third trimester Veginel blading Hi: 24 yo GAPIOor st BSW 7/4 GA estmoled by LHP wrth a Accum Hilo placcdla previa pacsented with vogrnel bluding Pt states Met she noticed He aig Ms ae. we Bo she woke op Yo He bethacom, There war bleed cm hx clothes and fete oi Me toilet bowl. She ejtinaler approx A cup of blood ss. she stcles having @ placenta pani wih hr cout prgrancy cieyacsed by vis, Sh does wot ho hex “previous pay = ile ales. demir Pain, Cramps, reusta, fer, chills or yeunk frouna, She fos bem ceccving prenetel core of NCH, ami te oaly rican she lon beam fading ene the prone utara = Garvie cpelegys Ge | hrorgiio _&) 685 any sialon apt ~ Bld type» OF = pop smun: Nowell = CD VDRG, Exam, Hep c, (4) Rubella, Ab titer - Meet Slocos fost neal = Dema seam: Teeow 4.2 (Nero) ~ Herorches + 14 y/o = Monsees + Rigulon. 30 dys qele, 5 buys of Gurdlies of wensaes. : Con-fameslion: Nome - BTi + Fee Ulo stis Ob en: = 2016 » elective C- Section | No uemphicchions . Boy swept 28 bs, Gomera PH: _ een = Nes roman Kable ; Psu: _ = 2016, C-seckion , re complecetions 1996, Toasilectomy . | Medication Frente vitamins ae, 00 Held ce allay) 2 a “dey + | Flangjuama, bot Bes Topped = diving oh home with mother , wet cumetty woolen, @ rx _ - - Fotha; Heart Heck va bk ver 64 yb [D -Rotha. HTW, ax) As yf VS: BP 120/73 P92, Res 16 T:94Q2F Sua: Age - cmearcianh plement im NAD AxOr4 Shin Vink, cok Pulm: CLAB. oe - SU + Wo CUA tendemeo CU! RRR Narnok S152 oe . Aled : Vistended , Wo tesdumma 320m femdua . HSK: No ederre on vchonel . fondo Velore ow» DEFERRED | @ Tragg / labs Lo SINST! FHA of 143 tH crccdarctions aad prs neat verrahitely -V/5' Reals placnle 1 pall sense of ervicab Ph. -CBC* 44.2 Ab Assessment > 24 yle G2Pi001 wilh 3rd tainusten porlens vaginal blading « VT 1s hymodinemvally stoble. V/s rs corsistond with placte prwia Pasblem voginel bleedig Vd: 4. Plocoke previa, The o He most lly De gives Hi Ho plata previa wilh previeue visit U/S, amd a previous cmseclion. The | petind raga ves seppotting He diagnoses one, © par , © pprom, closed awik ,© crcinection. + The & incteh epproceh to ard tarmeaiter egirel Seeding shoes) olw Alot Derenaing pted and motonsl ctetuo. Aflewoss, uls rs He Wen gtardord to diegrose plaacka previ. a ofS neveokd eC je end o placenta _ acuels, ote, parcel. ? 2. Plrakel obraastion « Hes 5 nom ve 30%e of 39 terrae humersgtin, However, the Lack of par role Hes ee el 3. haba. hey Bibely dus te Sack. of Gernot ons and awieek 85 wor deed or _vls. Plow 4) Ramet pebiot and inctiale bed tut pn of baat Be 2) Aare mmalermol VS ome FRR with NST dee 3) Rpeat v[S ond welch plot growth, pvenach, Heont forclionzy, placnfel Aocelion, itd _ | oe | Up te Bile. Plote acrla . Sept 2016

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