CT 1: GDM case teaching by Dr. Akram
Booking at least at 6w
MOGTT when, result? Insulin unit? BSP controlled? HbA1C? U/S: congenital anomalies? polyhydramnios? macrosomia?
Use SFH to compare with POG
FHR must show u're counting for 1 min
if pre-eclampsia PE must check liver tenderness, epigastric pain
CT2: Placenta Previa case teaching by Prof Adibah
quickening at 28w? impossible, check LMP wrong date/abdomen too thick
how to present:
she noticed she is pregnant when UPT is done and confirmed her pregnancy after she experienced nausea, vomitting,...
Booking was performed at....
the parameters are as followed...
u/s done at....w, and showed fetus corresponding to dates, subsequent checking was done regularly, throughout her pregnancy, there was no hypertension,...
quckening at....w
1st dose of ATT was given at....w, subsequent dose at...w
at 29w, another u/s performed as routine procedure which show placental low-lyng,...otherwise no fetal abnormalities, however, never has APH,
ask any fibroid, previous uterine surgery (risk factor)
PE for placenta previa:
1. Pain? contraction pain can cause APH in placenta previa
2. Vital signs
Bp: rule out late onset of HPT, as pt has family hx
HR: Wolff-Parkinson white syndrome...due to hyperactive thyroid
3. pallor, signs of anemia, make sure pt not in dilutional anemia, Hb enough to compensate when APH happen
4. edema, she is at risk to develop HPT, so if very gross edema, assess renal problem...
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