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    Fafan upin
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    This morning report from May 22nd, 2019 provides information on two patient cases: 1. A 36-year-old woman, Mrs. HR, who is P4A0H3 post spontaneous abortion on day 5 with impending eclampsia and anemia. She has been given magnesium sulfate and nifedipin for treatment. 2. A second patient who is a G4P1A2L1 woman at 36-37 weeks gestation with placenta previa totalis and head presentation. The supervisor overseeing the cases is Dr. Edi Prasetyo Wibowo and Dr. Ario Danianto. The medical team in charge consists of

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    MR 22-05-2019 new

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    This morning report from May 22nd, 2019 provides information on two patient cases: 1. A 36-year-old woman, Mrs. HR, who is P4A0H3 post spontaneous abortion on day 5 with impending eclampsia and anemia. She has been given magnesium sulfate and nifedipin for treatment. 2. A second patient who is a G4P1A2L1 woman at 36-37 weeks gestation with placenta previa totalis and head presentation. The supervisor overseeing the cases is Dr. Edi Prasetyo Wibowo and Dr. Ario Danianto. The medical team in charge consists of

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    8 views8 pages

    MR 22-05-2019 New

    Uploaded by

    Fafan upin
    This morning report from May 22nd, 2019 provides information on two patient cases: 1. A 36-year-old woman, Mrs. HR, who is P4A0H3 post spontaneous abortion on day 5 with impending eclampsia and anemia. She has been given magnesium sulfate and nifedipin for treatment. 2. A second patient who is a G4P1A2L1 woman at 36-37 weeks gestation with placenta previa totalis and head presentation. The supervisor overseeing the cases is Dr. Edi Prasetyo Wibowo and Dr. Ario Danianto. The medical team in charge consists of

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 8

    Morning Report

    May 22nd, 2019

    Supervisor: dr. Edi Prasetyo Wibowo , SpOG


    dr. Ario Danianto, Sp.OG

    Team in Charge: Badrul, Penasti, Fandini


    Case Resume

    Normal Labor

    Pathologies Labor
    G4P1A2L1 GA 36-37 weeks S/L/IU Head presentation with
    Plasenta Previa Totalis

    Remain Patient P4A0H3 post SC day-5 with PEB impending eklampsia + Anemia
    Case I
    Name : Mrs. HR
    Age : 36 y.o.
    Address : Batu Layar
    Admitted : May 21st , 2019
    MR Number : 030600
    TIME SUBJECTIVE OBJECTIVE ASESSMENT PLANNING
    21-05-2019 Main complaint: dizziness and General Status: P4A0H3 post SC day-5
    23.20 blurred vision GC: well with PEB impending
    GCS: CM eklampsia + Anemia
    Patient reffered from Meninting’s BP: 150/80 mmHg
    public health centers to PR: 86 bpm
    emergency unit NTB General RR: 28 x/min
    Hospital with P4A0H3 post SC Temp: 37,0oC
    day 4 caused PEB. Patient W: 45 kg
    complaint dizziness since 18.00 H: 148 cm
    (21-05-2019) and blurred vision. IMT: 21
    No active bleeding(-), no seizure
    (-). Local Status:
    Eye: anemic +/+, icteric -/-
    Patient was came to hospital on Cor: S1S2 single reguler,
    17-05-2018 because PEB and murmur (-), gallop (-)
    termination SC. Patient was Pulmo: vesikuler (+/+),
    forced home on 20-5-2019 wheezing (-/-), ronkhi (-/-)
    because she think no complaint. Abdomen: BU (+), scar (+)
    Extremity: edema (-/-)
    There’re history of HT but not pada ekstrimitas bawah,
    routine drug consumption. No warm acral (+/+)
    history of DM, and heart disease.
    History of asthma (-).
    TIME SUBJECTIVE OBJECTIVE ASESSMENT PLANNING
    Obstetrical History: Lab: Planning
    1. 2004/ Female/ 2300 gram/ HB 7,2 g/dl Diagnostic:
    Pervaginam/ no/ home/ dead HCT 23% Complete blood count
    40 days. WBC 14.630/uL Urinalisis
    2. 2009/ male / 2500 gram/ RBC 2,73 x 10-6/uL
    pervaginam/ midwife/ PHC/ PLT 312000/uL Observation:
    life - Obs. Vital sign Mother
    3. 2013/ female/ 2200gram/ Urinalisa
    pervaginam/ midwife/ PHC/ BJ : 1025 Therapy in PHC
    life Ph : 7,5 - Nifedipin tab 10 mg
    4. 2019/ female/ 2200gram/ Nitrit (-) (22.41)
    SC/ doctor/ life Protein (-) - Drip MgSO4 6 gr
    Glukosa (-) dalam RL (22.47)
    Keton (-) - DC
    Urobilinogen 0,1mg/Dl DM co to GP, GP co to
    Bilirubin (-) SPV, advice:
    Darah/HB : +1 • Pro transfusion PRC
    Wbc : (-) 1 kolf
    • Stop drip MgSO4,
    replace Ringer
    Laktat
    • Nifedipin tab 3x1
    • Move to VK teratai
    Chronology
    Thank you 

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