Twin Intrauterine Pregnancy: A Case Study

Laboratory Data: Hemoglobin 14.6, hematocrit 43.6, and WBC 13,000. Sodium 138, potassium 3.8, chloride 105, C02 24, BUN 10, creatinine 0.9, and glucose 102. Urinalysis was negative.

Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows

She had an 8-week ultrasound that confirmed her dates. She now is 11 ½ weeks and is interested in a FTS. The nuchal translucency measurement fell within the normal range. The nasal bone was identified, and there was normal ductus flow. She therefore underwent laboratory testing and the complete result of this screen should be available in the next 4-7 days. If the result of this screen returns with decreased risks, we would recommend a good fetal anatomical survey between 18-22 weeks gestation.

Views today demonstrate a viable singleton fetus at 12 weeks 2 days. Fetal crown-rump length measures 59.2 mm. The best nuchal translucency measurement obtained was 1.8 mm, and the nasal bone was visualized as present. Fetal cardiac activity is visualized. Due to early gestational age, fetal anatomy was not assessed, but 4 extremities are noted. Amniotic fluid and placental location are visualized as normal within limitations of early gestational age. Adnexa are suboptimally seen. No notching is seen on the uterine artery Doppler’s.

This paper is about the information from AAR. AAR is 38 years old, living and working in the surrounding Danville, PA area. AAR works for finance with an associate’s degree. AAR and her husband, PAR, are expecting their fourth child. AAR is gravida four, term three, preterm zero, abortion zero, and has three living children. With a last menstrual period of June eighteenth, AAR is fourteen weeks and five days and her estimated

The claimant is a 33- year old filing a continuing disability review alleging high blood pressure, heart problems, and blood clots.

Patient is a G1P0, 23-year-old Caucasian female patient, LMP is January 10, 2013, EDC is October 17, 2006 and gestation of 384/7 weeks confirmed by an ultrasound per chart. Pre-pregnancy weight was 110 lbs and pregnancy weight is 145 lbs for a total gain of 35 pounds. Patient stated she eats a normal diet, does not drink alcohol and she has never smoked cigarettes nor taken any kind of recreational drugs. Was admitted 0430 hrs on October 5, 2014 with intact membranes with 2cm dilation and 50% effaced. Birthing plan shows she plans on a natural birth, patient states “I plan on following my birthing plan to have no drugs during my labor, but am open to hearing my choices.” Patient plans on breastfeeding her infant for at least 1 year. Supportive husband was at bedside throughout the labor, delivery and postpartum.

On November 3, 2014, client, JL, presented to the emergency department. The mother of the client reported increased “fussiness” and refusal to bear weight on right leg that started over the weekend. Client has history of Sickle Cell Disease which called for a routine complete blood count with differential to be conducted. Results were as follows: WBC-

Complete Blood Count: The white blood cells count is relevant. The cholesterol is elevated, but the hemoglobin is reasonable. She doesn’t have anemia.

Dalia and I reviewed her labs from 06/11 and advised the patient they were normal and iron was not needed. The patient advise us she had a new set of labs done on Wednesday. We advise that those labs were not in the system and once they appear in the system, we will give them to you ,so you can determine if she needs iron.

Patient Y was very anxious in the PACU due to the fact that she did not know the status of her baby. In order to eliminate

A visit note from Dr. Sparks, dated 09/19/2017, indicated that the claimant presented for a follow-up of depression. She stated that she stayed in bed a lot and cries all the time. Her BMI was 46.55. She was diagnosed with depression with anxiety. It was noted that she was unable to function at work.

By dates, she is 14 ½ weeks and the measurements are concordant. The amniotic fluid volume is normal and the cervix appears to be long and closed. It does appear that the placenta is forming

Telephone contact made to the patient. Two patient verifier completed. The patient states she started taking Hyzaar and Zantac approx 2 weeks. however, the patient states on this past Monday, Jan 11 two hours after she had taken her Zantac and Hyzaar her face, lips, and hands begin to swell and itch. The patient states that she took a Benadryl and used her Epi pen and that helped with her reaction. Due to her allergic reaction the patient states that she has stop taking the Hyzaar for her bp and the Zantac. Informed the patient that an appt with her provider is needed to discuss other bp treatment options and allergies. Apt was made. The patient instructed to monitor her bp twice a day, if she starts to feel dizzy, throbbing headahce, light