Professional Documents
Culture Documents
Ocampo, Joan
Oh, Howard
Panganiban, James
GENERAL DATA
consulted ER
PAST MEDICAL HISTORY
• (-) DM
• (-) HPN
• (-)CARDIAC DISEASES
• (-)THYROID DISEASES
• (-)ASTHMA
• (-)ALLERGY
FAMILY HISTORY
• (+) DM – PATERNAL
• (+) HPN – MATERNAL
• (-)CARDIAC DISEASES
• (-)THYROID DISEASES
• (-)ASTHMA
• (-)ALLERGY
PERSONAL AND SOCIAL HISTORY
• NON-SMOKER
• NON ALCOHOLIC
• NO ILLICICT OF DRUG USE
OBGYNE HISTORY
• OB SCORE M – 15 y/o Coitarche – 18 y/o
G3P0 (0020) I – regular # sexual partners – 3
G1 – 2005, Abortion D – 3-4 days Contraceptions – none
G2 – 2016 Abortion A – 2 pads per day
G3 – Present S – (+) dysmenorrhea
pregnancy
Diagnosis of Pregnancy
• Signs and Symptoms
1. Amenorrhea
2. Lower-Reproductive Tract Changes
3. Uterine Changes
4. Breast and Skin Changes
5. Fetal movement
• Pregnancy Tests
1. Measurement of hCG
2. Home pregnancy tests
• Sonographic Recognition of Pregnancy
• TV-UTZ: gestational sac by 4-5 weeks AOG, yolk sac by 5 weeks
• Early UTZ: done before 12 weeks AOG
• Isthmus – Hegar’s Sign – 6-8 weeks – softening
• Cervix – Goodell’s sign – 4 weeks – softening due to
edema
• Vagina – Chadwick’s sign – 6 weeks – Violaceous due to
increased blood
10 Danger Signs of Pregnancy
SIGNS OF PREECLAMPSIA
Headache
Blurring of Vision
Prolonged Vomiting
Nondependent edema
Epigastric/RUQ pain
• GYNECOLOGIC TUMORS
• POLYHYDRAMNIOS OR OLIGOHYDRAMNIOS