Case 1 Endorsement: Patient Name: De Guzman, Tracy Age: 21 years old Sex: Female Religion: Catholic Attending Physician: Dr. Mercado. Amelia Room no./ OB Ward: / Health Center Chief Complaint: Labor pains Date and time admitted: January 18, 2021 at 07am Diet: DAT Allergies: No known allergies Pending Tests: Urinalysis Scenario 1 (Day 1): Tracy De Guzman is a 21-year-old woman, a resident of Lagao, General Santos City. She is 38 weeks pregnant. This is her second pregnancy, and she has attended all previous visits with her mother and Frank, the father of her baby. Tracy is very quiet and makes limited eye contact at the Health Center. Tracy’s pregnancy has been relatively uneventful. Her weight gain has been 23 pounds. Laboratory values and blood pressure have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. At her last visit to the barangay health center, the midwife told her they would discuss the birthplace. Tracy’s options are to deliver in one of two tertiary hospitals in the city with complications or at Conel Health Center. Tracy arrives with her mother on the day of admission, and the Health Center midwife notices that she seems to be more serious. The midwife assessed Tracy took vital signs, and revealed the following data: BP: 110/80mmhg RR: 20cpm CR: 85bpm Temp: 37 degrees AOG: 38 weeks FHT: 120bpm at RLQ IE: BOW: Leaking 3 days ago Cervical dilation: 1cm Engagement: -3 Dx: Premature Rupture of Membranes Make an introduction. Statistics Data Diagnostic Test
Case 1
Endorsement:
Patient Name: De Guzman, Tracy
Age: 21 years old
Sex: Female
Religion: Catholic
Attending Physician: Dr. Mercado. Amelia
Room no./ OB Ward: / Health Center
Chief Complaint: Labor pains
Date and time admitted: January 18, 2021 at 07am
Diet: DAT Allergies: No known allergies
Pending Tests: Urinalysis
Scenario 1 (Day 1):
Tracy De Guzman is a 21-year-old woman, a resident of Lagao, General Santos City. She is 38 weeks pregnant. This is her second pregnancy, and she has attended all previous visits with her mother and Frank, the father of her baby. Tracy is very quiet and makes limited eye contact at the Health Center. Tracy’s pregnancy has been relatively uneventful. Her weight gain has been 23 pounds. Laboratory values and blood pressure have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. At her last visit to the barangay health center, the midwife told her they would discuss the birthplace. Tracy’s options are to deliver in one of two tertiary hospitals in the city with complications or at Conel Health Center.
Tracy arrives with her mother on the day of admission, and the Health Center midwife notices that she seems to be more serious. The midwife assessed Tracy took vital signs, and revealed the following data:
BP: 110/80mmhg RR: 20cpm CR: 85bpm Temp: 37 degrees
AOG: 38 weeks
FHT: 120bpm at RLQ IE: BOW: Leaking 3 days ago Cervical dilation: 1cm Engagement: -3
Dx: Premature Rupture of Membranes
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