Case Study About Itrauterine Fetal Demise
CASE STUDY
OF
INTRAUTERINE FETAL DEMISE
MA. ARNIE PULGA, RN
BY:
GROUP 25
ESPINOSA, MARIFE S.
FACUN, SHALLIE MAE E.
FERNANDO, MONIKA V.
GORIOSO, GERMAIN B.
Biographical data
Name: Mrs. C. B
Status: Widow
Birthday: 05/05/1968
Birthplace: Bacolod
Religion: Catholic
Admitting diagnosis: Intrauterine Fetal Demise 39 weeks AOG G5P4 (4014)
Attending Physician: Dr. Isabel Hayag
Operation procedure: NSD with Mer (3)
Final Diagnosis: Intrauterine Fetal Demise 39 weeks AOG G5P4 (4014)
Reason of Admission: Abdominal Enlargement, labor pain
History of present illness:
Few hours prior to admission patient had on set sudden of abdominal enlargement, Patient was in denial of pregnancy on examination revealed pregnancy (+)
PHYSICAL EXAMINATION
1.) GENERAL INFORMATION
NAME;C.B.
AGE: 41 yrs. old
CC: Abdominal Enlargement
ADMITTING DIAGNOSIS: Intrauterine fetal demise
ADMITTING PHYSICIAN: Dr. Isabel Hayag
2.) VITAL SIGN
BP: 150/100 Temp: 36 C RR: 20 cycles/min PR: 88 bpm
3.) GENERAL SURVEY
The patient show with signs of distress
Coherent, oriented to time, place and person
The pt. is ectomorph.
Well- developed.
Looks according to age.
Emotional state is haggard.
4.) SKIN
The general color is pale.
Smooth to touch.
Has a fair skin turgor.
Warm and dry.
5.) HEAD
The pt. head is normocephalic.
Fine hair and clean scalp
Lids are symmetrical
Peri orbital region has no edema.
Conjuctiva are pale.
Anicteric scalera.
Cornea and lens are smooth.
Pupil size are equal.
Reaction to light are brisk.
Has uniform constriction.
Convergence are intact.
Visual acuity is grossly normal.
6.) EARS
External pinnae are normoset.
No discharge.
Gross hearing are symmetrical.
7.) NOSE
Nasolabial fold is symmetrical.
Septum is in midline.
Mucosa is pale.
Gross smelling are summetrical.
Both patent.
Non-papable.
8.) MOUTH
Lips are pale.
Tongues is in midline.
Gums
OF
INTRAUTERINE FETAL DEMISE
MA. ARNIE PULGA, RN
BY:
GROUP 25
ESPINOSA, MARIFE S.
FACUN, SHALLIE MAE E.
FERNANDO, MONIKA V.
GORIOSO, GERMAIN B.
Biographical data
Name: Mrs. C. B
Status: Widow
Birthday: 05/05/1968
Birthplace: Bacolod
Religion: Catholic
Admitting diagnosis: Intrauterine Fetal Demise 39 weeks AOG G5P4 (4014)
Attending Physician: Dr. Isabel Hayag
Operation procedure: NSD with Mer (3)
Final Diagnosis: Intrauterine Fetal Demise 39 weeks AOG G5P4 (4014)
Reason of Admission: Abdominal Enlargement, labor pain
History of present illness:
Few hours prior to admission patient had on set sudden of abdominal enlargement, Patient was in denial of pregnancy on examination revealed pregnancy (+)
PHYSICAL EXAMINATION
1.) GENERAL INFORMATION
NAME;C.B.
AGE: 41 yrs. old
CC: Abdominal Enlargement
ADMITTING DIAGNOSIS: Intrauterine fetal demise
ADMITTING PHYSICIAN: Dr. Isabel Hayag
2.) VITAL SIGN
BP: 150/100 Temp: 36 C RR: 20 cycles/min PR: 88 bpm
3.) GENERAL SURVEY
The patient show with signs of distress
Coherent, oriented to time, place and person
The pt. is ectomorph.
Well- developed.
Looks according to age.
Emotional state is haggard.
4.) SKIN
The general color is pale.
Smooth to touch.
Has a fair skin turgor.
Warm and dry.
5.) HEAD
The pt. head is normocephalic.
Fine hair and clean scalp
Lids are symmetrical
Peri orbital region has no edema.
Conjuctiva are pale.
Anicteric scalera.
Cornea and lens are smooth.
Pupil size are equal.
Reaction to light are brisk.
Has uniform constriction.
Convergence are intact.
Visual acuity is grossly normal.
6.) EARS
External pinnae are normoset.
No discharge.
Gross hearing are symmetrical.
7.) NOSE
Nasolabial fold is symmetrical.
Septum is in midline.
Mucosa is pale.
Gross smelling are summetrical.
Both patent.
Non-papable.
8.) MOUTH
Lips are pale.
Tongues is in midline.
Gums