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FETOMATERNAL REPORT

(ULTRASOUND DIAGNOSTIC)
Tuesday, March 26th 2019

Residents on duty :
Dr. Willyyam Danles

Doctor in charge :
Dr. H. Nuswil Bernolian, OBGYN (C) MARS
Supervisor :
Dr. H. Nuswil Bernolian, OBGYN (C) MARS
Recapitulation
Tuesday, March 26th 2019

No. Diagnosis Total Patient

1 Obstetric inpatient 3
2 Gynecology inpatient 2
Total 5
FETOMATERNAL REPORT
(ULTRASOUND DIAGNOSTIC)
Tuesday, March 26th 2019
No Diagnosis US examination N
1 G2P1A0 35 weeks gestational age not inlabor with Typhoid fever 35 weeks gestational age SLF cephalic presentation 1
was suspected SLF cephalic presentation
2 G2P1A0 34 weeks gestational age not inlabor TLF cephalic 34 weeks gestational age SLF cephalic presentation-cephalic 1
presentation-cephalic presentation presentation with hydrops foetalis in one of baby
3 G4P3A0 7-8 weeks gestational age with threatened abortion + 7 weeks gestational age SLF intrauterine 1

prior CS 1x SLF intrauterine Subchorionic bleeding


4 G3P2A0 34 weeks gestational age not inlabor with PROM 10 days 34 weeks gestational age SLF cephalic presentation 1

+ severe preeclampsia + prior CS2x SLF cephalic presentation


5 Intra abdomen mass Non Gynecology mass 1
1. Mrs. ATI/21/UA
Clinical Diagnosis: G2P1A0 35 weeks gestational age not inlabor with Typhoid fever was suspected SLF
cephalic presentation
Ultrasound:
-SLF cephalic presentation
-Fetal biometry:
BPD: 8.86 cm, HC 30.45 cm, AC 30.88 cm, FL 6.95 cm, EFW 2580 gr
-placenta at posterior corpus
-amniotic fluid decreased, AFI 5.36cm

C/ 35 weeks gestational age SLF cephalic presentation

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2. Mrs. IRM/24/UA
Clinical Diagnosis: G2P1A0 34 weeks gestational age not inlabor TLF cephalic presentation-cephalic presentation

Ultrasound:
-TLF cephalic presentation-cephalic presentation
-Fetal biometry I:
BPD: 9.11 cm, HC 31.28 cm, AC 30.09 cm, FL 6.73 cm, EFW 2467 gr
Fetal biometry II:
BPD: 8.54 cm, HC 30.36 cm, AC 30.40 cm, FL 6.65 cm, EFW 2388 gr
Enlargment calix right renal sized 5.98x2.98cm and right ureter  Right hidronephrosis and Hydroureter
Keylock sign appearance at vesica urinaria sized 6.32x3.51cmMegavesica
-placenta at anterior corpus
-amniotic fluid sussicient, SDP 4.21cm

C/ 34 weeks gestational age SLF cephalic presentation-cephalic presentation with hydrops foetalis in one of baby
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3. Mrs. ERM/40/RA
Clinical Diagnosis: G4P3A0 7-8 weeks gestational age with threatened abortion + prior CS 1x SLF
intrauterine

Ultrasound:
-SLF intrauterine
-Fetal biometry:
CRL (+) 1.30-7w4d, pulsation (+)
- Contraction (+)
-There was complex mass around chorion sized 2.26x1.59cm  subchorionic bleeding

C/ 7 weeks gestational age SLF intrauterine


Subchorionic bleeding

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4. Mrs. YUH/40/UA
Clinical Diagnosis: G3P2A0 34 weeks gestational age not inlabor with PROM 10 days + severe
preeclampsia + prior CS2x SLF cephalic presentation

Ultrasound:
-SLF cephalic presentation
-Fetal biometry:
BPD: 8.07 cm, HC 31.48 cm, AC 32.10 cm, FL 6.48 cm, EFW 1324 gr SDAU 4.41
-placenta at fundus
-amniotic fluid sufficient

C/ 34 weeks gestational age SLF cephalic presentation

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5. Mrs. ROM/44 yo/RA
Clinical Diagnosis:
Intra abdomen mass

-Fundus and corpus uterine shape and sized within normal limit 7.06x2.0cm
-Endometrial line (+) 0.28cm, regular stratum basalis
-Portio and endocervix within normal limit
-Both of ovarium cant be assess
- There was solid mass at retro uterine sized 13.90x9.53cm  Non gynecology mass

C/ Non Gynecology mass

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