medic student notes

https://medicstudentnotes.blogspot.com/2024/08/o-shortcase-for-professional-exam.html

https://medicstudentnotes.blogspot.com/2024/08/gynaecology-protocol-obstetrics.html

O&G Notes on Long Case For Professional Exam *** modified Long Case 1. Anemia In Pregnancy https://medicstudentnotes.blogspot.com/2024/08/anemia-in-pregnancy-clerking-template.html 2. Diabetes in Pregnancy https://medicstudentnotes.blogspot.com/2024/08/diabetes-in-pregnancy-clerking-template.html 3. AUB https://medicstudentnotes.blogspot.com/2024/08/abnormal-uterine-bleeding-in.html

https://medicstudentnotes.blogspot.com/2024/08/abnormal-uterine-bleeding-in.html

https://medicstudentnotes.blogspot.com/2024/08/diabetes-in-pregnancy-clerking-template.html

https://medicstudentnotes.blogspot.com/2024/08/anemia-in-pregnancy-clerking-template.html

Impending eclampsia is a serious condition that occurs in pregnant women, characterized by the onset of seizures (eclampsia) following preeclampsia. Early recognition of the signs of impending eclampsia is crucial for preventing seizures and ensuring maternal and fetal safety. Here are the key signs and symptoms that may indicate impending eclampsia: - Severe Headache - Often described as a persistent, throbbing headache that is not relieved by analgesics. - Visual Disturbances - Blurred vision, seeing spots or flashes, and photophobia (sensitivity to light). - Severe Hypertension - Blood pressure readings of 160/110 mmHg or higher. - Upper Abdominal Pain - Particularly in the right upper quadrant, often due to liver involvement. - Nausea and Vomiting - May accompany other symptoms. - Decreased Urine Output (Oliguria) - Suggesting renal impairment. - Altered Mental Status - Confusion, restlessness, or irritability. - Hyperreflexia - Exaggerated deep tendon reflexes and clonus (a series of involuntary muscle contractions). Prompt medical evaluation and intervention are necessary if these symptoms occur to prevent the progression to eclampsia, which can pose serious risks to both the mother and baby. Treatment typically involves controlling blood pressure and administering magnesium sulfate to prevent seizures.

General examination? Inspections - Abdomen distension - pregnancy cutaneous sign - scar ? transverse or longitudinal - umbilicus is abdomen is soft and non tender SFH - Transverse lie : smaller than date - equivalent to date - use inch Leopolds 1st Menouver - nk determine - Pole ( 2 pole, 4 pole ) - Lie ( longitudinal or oblique, transverse ) - Kepala : round, Firm, ballotable - bontot : broad, soft Lateral Grip - determine and confirm lie - push gently - form the funds - feel fetal part - rounded : Fetal back pelvic grip - how many part fetal head enters the pelvic - presentation - engagement ? - 3/5 palpable ( 2 part of the head enter the pelvis ) - ballot ? : - freely mobile : 5/5 palpable ( not enter pelvic yet ) * longitudinal lie * cephalic presentation Transverse lie There is singleton fetus, longitudinal/transverse/oblique lie, cephalic/breech presentation fetal back is R/L maternal side fetal part us R/L maternal side head of fetus is 4/5 palpable Liquor is adequate = nicely feels Liquor volume is increase = Hardly to feel Very easily felt = Decrease liquor EFW = ???? - 12 weeks: 8-14 grams - 16 weeks: 80-100 grams - 20 weeks: 300-350 grams - 24 weeks: 600-700 grams - 28 weeks: 1,000-1,200 grams (1 kg to 1.2 kg) - 32 weeks: 1,700-2,000 grams (1.7 kg to 2 kg) - 36 weeks: 2,500-2,700 grams (2.5 kg to 2.7 kg) - 40 weeks: 3,200-3,600 grams (3.2 kg to 3.6 kg) 👻Auscultations - Pinard - Daptone : cannot use stethoscope How to determine - location of fetal heart ? (posterior / fetal back ) - identify the fetal back ? R/L - fetal heart located around the posterior to the anterior shoulder - must face the mother - how to describe : the fetal heart activity is present N : 100-160 Start to feel the fundus : 12 week use measures tape >22 week and above < 22 weeks : Clinical fundal height - anatomical landmark - above : the pubic symphisis : 12 - midway umbilicus and PS : 16 week - Xiphisterum : 36 week **** - fullness of the flank : >38 week max : is more than 38 je above umbilical - 1 finger = 2weeks kalau bawah sikit pada xiphisternum : tolak

Bedside Teaching notes for O&G 1. Uterine Fibroid ***

https://medicstudentnotes.blogspot.com/2024/08/clerking-template-obstetrics-and.html

Internal medicine notes cardio https://medicstudentnotes.blogspot.com/2024/08/internal-medicine-cardiology-short.html

O&G Clerking template

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