Blood typing

Name of patient: Teves, Delia

Omandac
Age: 28
Sex: Female
Location: ER
Blood type: "O“
RH type: positive
Ultrasound report
(First trimester)
I. GS= 2.1cm 7-w 0-d
II. CRL __cm __w __d
III. YS ____cm
IV. FHT ____ per minute
V. Cx- shortened and closed (2.0)
VI. Adnexae: normal ovaries with corpus leteum right ovary
VII. Others: Subchronic hemmorhage inferior pole, measuring
(2.8×1.6×0.6 cm) (volume: 1.6ml)
Comments:W/in a poorly decidualized endometrium is gestational sac
w/o embryonic pole
Average ultrasonic age: 7w
Diagnosis: Anembryonic pregnancy 7 weeks AOG by mean sac
diameternormal ovaries
 Diagnostic Procedure
Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage
to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage
or abortion.
In a dilation and curettage — sometimes spelled "dilatation" and curettage — your doctor uses small instruments or a
medication to open (dilate) your cervix — the lower, narrow part of your uterus. Your doctor then uses a surgical instrument
called a curette to remove uterine tissue. Curettes used in a D&C can be sharp or use suction.

Why it's done.

Dilation and curettage can diagnose or treat a uterine condition.
To diagnose a conditionYour doctor might recommend a type of D&C called endometrial sampling to diagnose a condition if:
You have abnormal uterine bleedingYou experience bleeding after menopauseYour doctor discovers abnormal endometrial
cells during a routine test for cervical cancerTo perform the test, your doctor collects a tissue sample from the lining of your
uterus (endometrium) and sends the sample to a lab for testing. The test can check for:
Endometrial hyperplasia — a precancerous condition in which the uterine lining becomes too thick
Uterine polyps
Uterine cancer
• To treat a condition
HysteroscopyWhen performing a therapeutic D&C, your doctor removes the contents from inside your uterus, not just a
small tissue sample. Your doctor may do this to:
Clear out tissues that remain in the uterus after a miscarriage or abortion to prevent infection or heavy bleedingRemove a
molar pregnancy, in which a tumor forms instead of a normal pregnancy
Treat excessive bleeding after delivery by clearing out any placenta that remains in the uterusRemove cervical or uterine
polyps, which are usually noncancerous (benign)
During the procedure
Dilation and curettage (D&C)For dilation and curettage, you'll receive anesthesia. The choice of anesthesia depends on the
reason for the D&C and your medical history.
General anesthesia makes you unconscious and unable to feel pain. Other forms of anesthesia provide light sedation or use
injections to numb only a small area (local anesthesia) or a larger region (regional anesthesia) of your body.
During the procedure:
You lie on your back on an exam table while your heels rest in supports called stirrups.Your doctor inserts an instrument
called a speculum into your vagina, as during a Pap test, in order to see your cervix.Your doctor inserts a series of thicker and
thicker rods into your cervix to slowly dilate your cervix until it's adequately opened.Your doctor removes the dilation rods
and inserts a spoon-shaped instrument with a sharp edge or a suction device and removes uterine tissue.
BLOOD TEST
Urinalysis
Chemical test: Yellow
Transparency: Slightly turbid
Glucose: negative
Protein: +1
Bilirubin: negative
Uroblinogen: Normal
pH:6.0
Specific gravity: >1.080
Blood: 1+
Ketones: negative
White: negative
Leukocytes: negative
Microscopic
leukocytes: 1-2/HPF
RBC: over 30/HPF
Epithelial cells: moderate
mucus thread: moderate
bacteria: Few
A. phospates:
A. urates:
calcium phospate:
calcium oxalate:
fine granular:
coarse granular:
hyaline cast: