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Doctor : Good morning. What can I do for you?

 
Patient : There's something wrong with my period. It's 25 days late . I believe. 
D : I want to know when your last period was . 
P : Oh , let me see I think it was my 17th , on time . I'd like to know if I am pregnant. 
D : Well , any discomfort" And your appetite? 
P : Discomfort? Yes . I have tenderness of my breast and poor appetite . I feel nauseous in the
morning , but I don't feel like vomiting. 
D : In that case , I suggest you have a pelvic examination . It is necessary. 
P : OK, I'll have that . 
D : Well , your uterus in enlarged and rather soft . Your pregnancy is about 6 weeks . Now we
need some urine for a test. 
D : Positive . You are pregnant . Congratulations! Please take good care of yourself.

 
Patient : doctor , what shall I do for an antenatal examination? 
Doctor : We'll take your weight and have you measured . We have to take your blood pressure ,
too. 
P : My blood pressure is always OK. 
D : But this is a special time. 
P : OK. 
D : I'd like to know when your last menstruation was. 
P : It was on Aug . 14,1986. 
D : Are your menstual cycles regular? 
P : Yes , they are , I think . 
D : In that case , your due date will be May 21,1987. 
P : In May . It's good . I mean the weather , of course. 
D : Yes . And if you have bleding , watery discharge , pain in your lower abdomen and legs ,
please tell me . 
P : when I am tired , I have some pain in my legs. 
D : If you have heriditary disease . You'd better not hide it from your doctor , for he'll tell you
what to do in order to make your delivery safe. 
P : I don't think I have any. 
D : I suggest that you have an examination of routine blood and urine , liver function and blood
group, take more nourishment and avoid sexual relations. 
P : Thank you .I'll remember 
Patient : Doctor , I really worry about my feet. They are swollen , and my fingers . too . 
Dctor : do you have any dizziness , nausea , vomithing , headache or Blurred vision? 
P : Only some headache. 
D : Well , your blood pressure is 160/95mmHg.. And your eyelids , a little bit swollen , any
bleeding? 
P : No. 
D : Your routine urine exam shows that the urine albumin is positive with 2 plus . Omit salt .
We call your problem as toemia of pregnancy . You've got to be admitted to hospital . 
P :Then I'd like to be admitted tomorrow. 

Patient : Doctor , It's berrible . I saw some blood discharge today . This is 8day be fore my due date. 
Doctor : Don't worry . we can help you .do you feel any pain in your abdomen? 
P : Rather mild pain but not regular. 
D : Any watery discharge? 
P : No 
D : Is this your first pregnancy? 
P : No , it's the second time. 
D : What about the first delivery? 
P : It was quick , but I bled a lot soon after the baby was born. 
D : if the placenta remains in the uterus for too long , you bleed. 
P : I see

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