Clinical manifestations, Medical

Diagnosis, Diagnostic Test

OCON ELMARIE B.
 Admitting Diagnosis
• G7P6 (6006) 7 4/7 week AOG to consider incomplete abortion;
non septic, non-induce

 Clinical Manifestations
 • Vaginal Spotting or bleeding
 • Pain, Cramping in abdomen or lower back
 • Fluid or tissue passing from vagina

 Vital signs upon admission

• BP: 90/60 mmHg
• Temperature: 38°C
• Respiratory Rate: 20 cpm
• Pulse Rate: 100 bpm
 Progress of Pregnancy
• IE: Cervix is dilated with placental fragments

 Medications
• Cephalexin 500mg
• Mefenamic acid 500mg
• Paracetamol 500mg
LABORATORY AND
DIAGNOSTIC PROCEDURES
 Progress of Pregnancy
• IE: Cervix is dilated with placental fragments

 Medications
• Cephalexin 500mg
• Mefenamic acid 500mg
• Paracetamol 500mg
DIAGNOSTIC TEST LABORATORY NORMAL VALUES
RESULTS
Complete Blood Count Hemoglobin - 67 120-150 g/l
(CBC) Hematocrit - 20 37-47 vol %
WBC - 9.93 5-10 × 10/1
Platelet Count - 178 150 – 350
Segmenters - 0.46 0.50 – 0.70
Lymphocytes - 0.37 0.20 – 0.40
Eosinophils - 0.01 0.02 – 0.04
Stabs - 0.01 0.03 – 0.05
DIAGNOSTIC TEST LABORATORY NORMAL FINDINGS
RESULTS
Internal Exam Cervix is dilated with •Vagina has no lesions or
placental fragments lump
• Cervix is smooth, firm,
unyielding
• Cervix is not dilated

• No placental fragments
DIAGNOSTIC TEST LABORATORY NORMAL VALUES
RESULTS

Beta- HCG Blood Test Declined HCG Levels Human Chorionic

Gonadotropin (HCG) level
ranging 7 650-229 000
mlU/mL should be higher
than the previous HCG
level results

Ultrasound -Fetus is not present Fetal Heartbeat can be

-Retained products of detected
conception The baby is about 1.6 cm
(0.6in) long
Gestational sac, yolk sac,
and the fetal pole are
visible
DIAGNOSTIC TEST BLOOD TYPE COMPATIBILITY

Blood Typing Type A A- A and O

Type B B- B and O

Type O AB- A,B,AB and O

Type AB O- and O

RH positive or Rh+ - Rh+ and Rh –

RH negative Rh- - Rh-