Diagnosis And Disease Progression / Acute Exacerbation Essay

Keia is a 31yo, G2 P0100, who is currently 9 weeks 6 days as dated by a 6-week scan that was off from her LMP. She has a history of an IUFD at 29 weeks. She reports that she had decreased fetal movement prior to coming in and there being no fetal heart tones on examination, but other than that there were no other significant precipitating events. She did have an increased risk for Down syndrome at 1:140 but per the old reports all of her analytes were within normal limits. At the time of delivery, the baby did appear to be appropriate weight and there were no obvious causes at the time of delivery. She reports that she had chromosomes performed after and the chromosomes were negative. She also thinks she had a full autopsy that was unremarkable. She did have a work-up for clotting disorders due to the history of loss and according to the chart everything is relatively within normal limits except for MTHFR which was heterozygous for C677T and A1298C. I did not see beta-2 glycoprotein or antithrombin III. Because of the relatively normal work-up she is on a baby aspirin and Metanx. She is here today to discuss her history and plans for this pregnancy.

3. List and define each of the patient’s additional symptoms in your own words. These terms appear

Rarely any physician intends to harm patients when he or she provides treatment to them. Patients see physicians and specialists in full faith that they will get help with a condition. What complicates the patient-doctor relationship is that the outcome of each patient’s treatment is different because of individual health conditions and the course of treatment chosen by the doctor. Problems arise when a patient is not satisfied with care provided by the doctor or in extreme cases when a patient dies. Since most of the time it is hard to clearly determine whether the outcome was solely a result of the course of treatment chosen by the doctor or whether other factors played a role too, quite often patients take their

This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks

Correctly using medical terminology, name and describe at least one sign, symptom, diagnostic tool and therapeutic intervention for this condition.

I must be aware, as the patient’s advocate, of the choice of each individual patient regarding his or her medical management or, as in this case, the withholding of treatment.

5. Provide complete and current information in reasonably understandable terms and languages regarding their diagnosis, treatment, alternatives, risks, and prognosis as required by the physician’s

More documentation is required from this patient. The three components of an encounter are (history, examination, and medical decision making). The nature of the presenting must also be documented. An established patient is a person who has been seen by the physician or group member within the last three years. Only two components of the three key components and the nature of the presenting problem must be documented in the established patient's medical record (Andress,

If diagnose early in the pregnancy and depending on the severity of the syndrome, the doctor might advice the patient to terminate the pregnancy

The patient must pay close attention to signs and symptoms in this stage. Signs may

Madaisa is20yo, G2 P0100, who is currently 34 weeks 4 days. She is followed in the High-Risk Upstairs Clinic secondary to a history of an abruption of an IUFD around 32 weeks. She actually presented to the hospital with fetal heart tones and had an emergency cesarean delivery but the baby was not alive. She is now being followed in weekly testing. Her growth scan 2 weeks ago was appropriate. She is here today for antenatal testing.

G4 P3003 (4 Gestations, 3 Full Term, 0 Preterm, 0 Miscarriages, 3 Currently Living); 3 Spontaneous Vaginal Deliveries; Last birth was 7 years ago by SVD, weighed 4000 grams; No previous obstetrical complications or morbidity; No past medical history; No past surgical history; No prior antenatal care

A.M. was a 29-year-old mother who gave birth at 0836 on 11/20/14. Upon beginning the shift, she was being prepared for her cesarean section (c-section) at 0800. She was a G4P1PT2AB2L1 and was 36 weeks and one day at the beginning of the shift. A.M. had no known allergies and no latex allergy. She was O+ and Rubella immune. Her husband was present throughout the day supporting her at her bedside. M.A. had a history of type II diabetes, depression, hypertension, previous right cornual ectopic pregnancy, previous c-section, cholecystectomy, and salpingectomy. She was having a c-section due to the possible risk of tearing and bleeding from the previous ectopic pregnancy*. Mother planned on breastfeeding her baby with minor supplements of

Zagazig University Faculty of Medicine Clinical Pathology Department Association of STAT4 Gene Single-nucleotide Polymorphism with Systemic Lupus Erythematosus Thesis Submitted for partial fulfillment of M.D. degree in clinical pathology By Marwa Abd El-Monem Mohamed Ateya MB.B.CH. Ass .lecturer of Clinical Pathology Faculty of Medicine Zagazig University Prof. Dr. Lamiaa Abd Al-wahab Mohammad Professor of Clinical Pathology Faculty of Medicine Zagazig University Prof.