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  • Cases For Oral Revalida 2016 1

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    Michelle Vera Gabun
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    This document contains details of two obstetrics cases for oral examination. Case 1 involves a 28 week pregnant patient presenting with watery vaginal discharge. The admitting impression would be preterm premature rupture of membranes. Workups would include tests to confirm diagnosis and assess fetal wellbeing. Management would involve antibiotics and corticosteroids with close monitoring. If labor ensues, a cesarean section would likely be required given gestational age. Case 2 involves a 21 year old patient at 32 weeks gestation presenting in active labor. On examination she was 5cm dilated and in active labor. She later delivered spontaneously to a live baby girl. Questions involve diagnosing the case, interpreting fetal heart rate tracings

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    This document contains details of two obstetrics cases for oral examination. Case 1 involves a 28 week pregnant patient presenting with watery vaginal discharge. The admitting impression would be preterm premature rupture of membranes. Workups would include tests to confirm diagnosis and assess fetal wellbeing. Management would involve antibiotics and corticosteroids with close monitoring. If labor ensues, a cesarean section would likely be required given gestational age. Case 2 involves a 21 year old patient at 32 weeks gestation presenting in active labor. On examination she was 5cm dilated and in active labor. She later delivered spontaneously to a live baby girl. Questions involve diagnosing the case, interpreting fetal heart rate tracings

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    152 views2 pages

    Cases For Oral Revalida 2016 1

    Uploaded by

    Michelle Vera Gabun
    This document contains details of two obstetrics cases for oral examination. Case 1 involves a 28 week pregnant patient presenting with watery vaginal discharge. The admitting impression would be preterm premature rupture of membranes. Workups would include tests to confirm diagnosis and assess fetal wellbeing. Management would involve antibiotics and corticosteroids with close monitoring. If labor ensues, a cesarean section would likely be required given gestational age. Case 2 involves a 21 year old patient at 32 weeks gestation presenting in active labor. On examination she was 5cm dilated and in active labor. She later delivered spontaneously to a live baby girl. Questions involve diagnosing the case, interpreting fetal heart rate tracings

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    OB CASES FOR ORAL REVALIDA – MAY 4-5, 2016

    Case 1:

    A 28 G2P1(1001)PU, 30 weeks, cephalic, breech NIL consulted the ER watery vaginal discharge.
    Past medical history and family history are unremarkable. Vital signs are stable. No fever. PE:
    FU=32cm, EFW 2.0-2.2 kg; Presentation=cephalic-breech. FHT 140/LLQ &152/RUQ. (-) edema.
    GUT: NEG, parrous outlet IE: Vaginal smooth dry; cervix : closed, nontender

    a. What is your admitting impression?

    b. What will be your work-ups?

    c. What will be your management?

    d. In case that patient will go into labor, what is your plan? Mode of delivery?

    Case 2:

    A 21 y/0 G1P0 came in at the ER due to labor pains. Her LMP was July 28, 2015. Vital signs are
    within normal limits. FH=32 cm, FHT=150 bpm. On internal examination, cervix is 5cm dilated,
    60% effaced, cephalic, intact BOW, station -2. Initial NST tracing was done. On her 6 th hour of
    hospital stay, she had spontaneous rupture of membranes. Repeat internal examination
    revealed cervical dilation of fully dilated, fully effaced, cephalic, (-) BOW station 0. After 2 hours,
    patient delivered spontaneously to a live baby girl.

    NST:

    Questions:
    a. What is your diagnosis?
    b. How will you interpret the tracing?
    c. Basing on your case, what should be the rate of cervical dilatation?
    d. Describe the stages of labor.
    e. Define the cardinal movements of labor

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