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6527535
PBL case 1 (I think I'm pregnant)
Description
pbl case
Mind Map by
Abrar Alsayed
, updated more than 1 year ago
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Created by
Abrar Alsayed
about 8 years ago
30
0
0
Resource summary
PBL case 1 (I think I'm pregnant)
mid to late pregnancy
prenatal tests
invasive
amniocentecis
chorionic villi sampling
non invasive
blood test
ultrasound
cfDNA
fetus
quickening
18-20 weeks
fetal heartbeat
120-160 bpm
can be measured 6th week
hemoglobin level
normal for pregnant
11.5-15 gm/dl
after delivery
importance of brestfeeding
for the infant reduces
otitis media infection
gastroentritis
diarrhea
asthma
severe lower respiratory tract infections
for the mother reduces
breast cancer
ovarian cancer
routine investigations
Breathing and heart rate monitor
Fluid input and output
Blood tests
Echocardiogram
Ultrasound scan
Eye exam
vaccinations
physical examinaation
head shape
ears and eyes
red reflex
hearing test
mouth (palate)
heart beats
lungs
breathing pattern
genetiles
undescended testes
skin (birth marks)
spine
hips (dislocation)
apgar score
medications
affect pregnancy
ibuprofen
disrupt period
medications that prevent pregnancy
monophasic 21 day pills
safe medications
Acetaminophen (Panadol)
cold and flue medications (nasal sprays
beginning of pregnancy
cases similar to pregnancy
thyroid irregularity
polycystic ovary syndrome
birth control medications
amenorrhea
1ry
genetic problem, hypothalamic problem
2ndry
natural
breastfeeding or pregnancy
medications
birth controls, antidepressants, BP medications
signs of pregnancy
tender breasts
softening of the uterus
dark bluish vagina
urinary frequency
constapation
symptoms of pregnancy
nausea and vomiting
absence of menstruation
ankle swelling
fatigue
food cravings
calculating EDD
step 1: determining first day of LMP
step 2:Counting back 3 months from that day
step 3: add 1 year and 7 days to that date
Questions and tests
history taking
lmp
past medical history
genetic screening
physical examination
vital signs
BP: normal fall during the 2nd trimster and then returns back to normal in 3rd tri
Pulse: 60- 90 beast
breaths: 16-24/min
abdominal examination (enlarged uterus)
pelvic examination (cervical examination)
BMI
for normal weight (11-16 Kg)
testing hormones (blood, urine)
secretion due to pregnancy
HCG & HCS
oxytosin & relaxin
Prolactin
progesterone and estrogen
altered levels due to pregnancy
thyroid
erthropoiten
Ectopic pregnancy
common site (ampullary mid portion of the fallopian tube
dangerous habits
smoking
increases baby's heart rate
lowers the amount of oxygen for both
increases chances of miscarriage and still birth
risk for the baby developing RT problems
risk of birth defects
Alcohol
fetal alcohol syndrome
heart defects
poor growth
poor muscle tone
behavioral problems
Media attachments
68807270-4377-450b-a098-f5e6c29f541f (image/png)
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