Page 2 of 2: CRS 6...obs-gynae coming uo fellas!!!!

drrhythm · Credits: 2507 My Scrapbook

ohhhhhhhhh...well hurrry always spoil de curry ..
anyways dr moony any idea me why we ll ask previous h/o of D& C in dis case (acc to dr broken heart)

doctormoony · Credits: 9948 My Scrapbook

drrhthm; I've no clue.........
pls dr broken ht tell us why do u chose prev.H/O D&C

brokenheart · Credits: 8297 My Scrapbook

Hey Buddies

I asked DnC in order to rule out previous abortions in first trimester due to molar/pl hydrops/chromosomal anomalies which all are risk factors for subsequent dev. of PIH ..hope i clarified my point..

also one imp info is second trimester abortions are protective factors against dev of PIH

and these are the other Risk factors
Women who are pregnant for the first time. There is also an increased risk in a subsequent pregnancy if there is a different father.
Women who have had PIH in a previous pregnancy.
Women whose mother or sister have had PIH.
Women younger than 20 or older than 40.
Women who are pregnant with more than one baby.
Women with medical conditions like diabetes, existing chronic high blood pressure, kidney disease, scleroderma or lupus.
Women who were malnourished at the start of pregnancy.
Women carrying a baby with a chromosomal abnormality.
Women who are overweight.
Women who are African-American

Chao.

doctormoony · Credits: 9948 My Scrapbook

dr broken ht;
I don't agree with you on that ,as molar pregnancy is a risk factor for PIH in the same pregnancy not in subsequent pregnancies.
and in this case the pt is @ her 36 w impossible to be molar p .

brokenheart · Credits: 8297 My Scrapbook

pls read carefully
its not molar that i am only talking abt its previous abortions

venetian · Credits: 1047 My Scrapbook

A 36-year-old Gravida I, Para O is seen at 36 week gestational age, complaining
of swelling of her hands and feet as well as gastric pain, all of recent onset. Her blood
pressure taken in the left lateral position is 150/95 (previous it was 120/70).
CASE 6: QUESTION 12
With respect to plausible diagnosis, what elements of history would you enquire about?
Select up to five.
Alcohol intake
Headache***
Allergies History of birth control pill use
Blurred vision***
History of infertility
Constipation History of urinary tract infection
Deepening of voice Number of sexual partners
Dysmenorrhea Previous history of PID
Dyspareunia Previous dilatation and curettage
Family history of ovarian cancer
Scotoma***
Fetal movement ***
Smoking
Fever

doctormoony · Credits: 9948 My Scrapbook

Hi broken ht
thx for your comment
But all these things r risk factors for the same pregnancy not subsequen ones..

brokenheart · Credits: 8297 My Scrapbook

yes

dr moony i agree with the fact that you pointed out ..but i am wrong in considering DNC for the reason that its a very vague factor in the history needs lot of explaination.. yes i am changing 2 responses based on the fact allergy is part of standard gen. enquiry of preg patients and fever to rule out sepsis...

A 36-year-old Gravida I, Para O is seen at 36 week gestational age, complaining
of swelling of her hands and feet as well as gastric pain, all of recent onset. Her blood
pressure taken in the left lateral position is 150/95 (previous it was 120/70). CASE 6: QUESTION 12
With respect to plausible diagnosis, what elements of history would you enquire about?
Select up to five.
Alcohol intake
Headache
Allergies
History of birth control pill use
Blurred visio
History of infertility
Constipation
History of urinary tract infection
Deepening of voice
Number of sexual partners
Dysmenorrhea
Previous history of PID
Dyspareunia
Previous dilatation and curettage
Family history of ovarian cancer
Scotoma
Fetal movement
Smoking
Fever

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