Preview

Asymptomatic Twin Case Studies

Satisfactory Essays
Open Document
Open Document
326 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Asymptomatic Twin Case Studies
Colleen is a 24yo, G1 P0, who was seen for an ultrasound evaluation and FTS for twins. She overall denies any major medical disorders other than some asthma but she is currently asymptomatic not on treatment. Based on her height and weight at the start of the pregnancy, her BMI was 30. On today’s assessment, overall she has no complaints.

By dates, she is 12 4/7 weeks and the crown-rump length measurement of the twins is concordant. The dividing membrane is identified and the twin is consistent with a dichorionic/diamniotic twin. Good amniotic fluid volume is seen on either side of the membrane. The cervix is long and closed. The nuchal translucency measurements fell within the normal range for both twins.

We did have a discussion

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Medical Transcription

    • 659 Words
    • 3 Pages

    HISTORY OF PRESENT ILLNESS: The patient states she has been having vaginal bleeding more like spotting over the past month. She denies the chance of pregnancy although she states that she is sexually active and using no birth control.…

    • 659 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Efw Case Studies

    • 402 Words
    • 2 Pages

    By dates using an EDD of 04/09/17, she is 36 1/7 weeks and the fetal measurements on average are 2 weeks larger. The abdominal circumference and femur length are one week larger than dates, whereas the average of the head measurements is 2-3 weeks larger than dates. The current EFW is 3200 g. The amniotic fluid volume is normal, and the BPP and Doppler studies are reassuring. An overview fetal anatomy assessment was performed and no major malformations…

    • 402 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Mrcp2

    • 481 Words
    • 2 Pages

    week of pregnancy complaining of dyspnoea. Her symptoms had become increasingly more debilitating over a period of eight weeks. On the day of admission she felt dyspnoeic at rest, and was unable to lie flat. There was no past history of note, other than an admission for repair of a dislocated lens two years previously. This was her first pregnancy. Urine dip-stick was negative for protein. Inpatient investigation culminated in cardiac catheterisation, the data from which are shown below: Anatomical site Superior vena cava Inferior vena cava Right atrium (mean) Right ventricle Pulmonary artery Pulmonary capillary wedge pressure Left ventricle Aorta Oxygen saturation (%) 76 72 74 75 74 98 97 Pressure (mmHg) End systolic/End diastolic 9 60/8 58/26 30 150/25 150/44…

    • 481 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Ms. X is a 34 year old female. The patient is a G3 P2, with both children delivered by C-section, with the only complication in both being low birth weights. Ms. X has a longstanding history of hypertension, anxiety and depression. Additional health history includes a vitamin D deficiency, back surgery in 05/06 due to a herniated disc, and two previous cesarean sections.…

    • 1437 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    * Since this is a pregnant woman, her symptoms would be coded as complications to the primary condition of pregnancy. Therefore, it would be coded under:…

    • 249 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Case Study

    • 546 Words
    • 3 Pages

    1. Outline her risk factors that the doctor was concerned about. Is anyone risk factor more prominent or problematic than the others?…

    • 546 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Diabetes Case Study

    • 781 Words
    • 4 Pages

    In reviewing Y.L.’s chart, you notice she has not been seen since the delivery of her child 6 years ago. She has gained considerable weight; her current weight is 78.5 Kg, she is 160 cm (5’3”) tall. Today, her blood pressure is 152/97 mm Hg, and her plasma glucose level is 16.1 mmol/L. Her family physician orders the following diagnostic tests: urinalysis, HbA1c, fasting BG (blood glucose), fasting lipid profile (cholesterol, LDL, HDL and triglycerides).…

    • 781 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Gestational DM

    • 5016 Words
    • 13 Pages

    1.How should the nurse record Amanda's obstetrical history using the G-T-P-A-L designation? A) 3-2-0-1-3.INCORRECTThis does not reflect the client's obstetrical history. B) 3-1-1-1-2.INCORRECTThis does not reflect the client's obstetrical history. C) 4-1-1-1-3.CORRECTGravidity [G] is defined as the number of times pregnant, including the current pregnancy. Term [T] is defined as any birth after the end of the 37th week, and preterm [P] refers to any births between 20 and 37 weeks. Both term and preterm describe liveborn and stillborn infants. Abortion [A] is any fetal loss, whether spontaneous or elective, up to 20 weeks gestation. Living [L] refers to all children who are living at the time of the interview. Multiple fetuses such as twins, triplets, and beyond are treated as one pregnancy and one birth when recording the GTPAL. Amanda's GTPAL is 4 (pregnancies counting current one) - 1 (infant born at 39 weeks) - 1 (twins born at 35 weeks) - 1 (spontaneous abortion at 9 weeks) - 3 (each twin and the singleton, all living). D) 4-2-1-0-2.INCORRECTThis does not reflect the client's obstetrical history.The nurse notes that Amanda's fasting 1 hour glucose screening level, which was done 2 days previously, is 158 mg/dl.2.The nurse recognizes that what information in the client's history supports a diagnosis of gestational diabetes? A) Maternal great-aunt has insulin dependent (Type 1) diabetes.INCORRECTFamily history of diabetes is not considered a risk factor unless it is a first degree relative. B) Youngest child weighed 4300 grams at 39 weeks gestation.CORRECTBirth of an infant over 9 pounds (~ 4.1 kg or 4100 grams) is a risk factor for gestational diabetes. Other risk factors include maternal age older than 25, obesity, history of unexplained stillborn, family history of Type 1 diabetes in a first-degree relative, strong family history of Type 2 diabetes, and history of gestational diabetes in a previous pregnancy. Ethnic groups at increased risk include…

    • 5016 Words
    • 13 Pages
    Better Essays
  • Powerful Essays

    PAST MEDICAL/SURGICAL HISTORY: Her past medical history is remarkable for a single seizure. Migraine x 1, some 12 years ago. DJD urinary bladder spasms. She has had a previous tonsillectomy, appendectomy, hysterectomy, bilateral salpingo-oophorectomy.…

    • 502 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    Jane Dare

    • 387 Words
    • 2 Pages

    the doctors difficulty in examining her. Knowing that Jane Dare had an EKG and a CBC prior to…

    • 387 Words
    • 2 Pages
    Good Essays
  • Good Essays

    At 12 weeks the foetus (baby) is about 5 cm long and weighs less then 14g.…

    • 2208 Words
    • 9 Pages
    Good Essays
  • Good Essays

    From the beginning of when I can remember everything has been shared. Birthday parties, celebrations, pictures, graduation day and even small things like a room when I was younger. But I never minded it. Sharing with my twin brother seemed natural and it was almost strange that everyone else didn’t share like we did. But it seemed that everyone else didn’t think that we liked to share with each other. Throughout my childhood, I remember family and friends poking fun at our shared birthday parties with comments like “Don’t you wish you had your own party?” My answer is no. Many of my family members held the idea that sharing everything and ultimately being a twin was wretched…

    • 1733 Words
    • 7 Pages
    Good Essays
  • Satisfactory Essays

    The following is a daily activity list for the 6 month developmental pregnancy timeline, this consist of three activities if done daily can have a positive effect on your pregnancy and your infant’s future development. What a baby looks like and how it acts, to an extent are determined by nature or heredity. But nurture or a child’s environment all play a role in whom they will become. There are many activities a pregnant mom can do to influence her baby’s environment in a positive manner.…

    • 654 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    It would be amazing to have a twin. We would be able to do almost everything with each other. We would be in the same grade so we could do homework together, especially if I am having trouble. It would also be more fun to play with someone your own age so I wouldn’t have to always play my little sisters games all the time. If I was going to go my little sister’s soccer game, I would not have to be fatigued because we could go to the park and play with each other. Being a twin would just be perfect.…

    • 102 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    HISTORY OF PRESENT ILLNESS: I was called to see this 69-year-old black female patient, well known to me, who was brought to the ER after she sustained an injury of her right hip. She states she was walking when her right leg just “gave out”, and she fell on to the right hip. She complained of mild pain in the right hip, and mild edema was noted in the ER. In addition she had external rotation of the right leg. Initial x-ray demonstrated findings of intertrochanteric fracture nondisplaced of the right hip. Consultation was obtained from Dr. Dodd who concurred with the diagnosis and treatment recommendations were made. She was subsequently admitted to the hospital for further evaluation and treatment, including surgical repair of the hip.…

    • 498 Words
    • 2 Pages
    Satisfactory Essays