8/19/2019 mr 01092015

1/20

Morning Report

September, 1th 2015

Supervisor:dr. Gede made punarbawa, Sp.OG

DM aga:rian

8/19/2019 mr 01092015

2/20

Morning Reportseptember 1th 2015

Case Resume!ORM"##"$OR

0

%"&'O#OG()S

#"$OR

1. G1P0A0L0 27-28 weeks S/L/IU headpresentation + PPI

8/19/2019 mr 01092015

3/20

*ase 1

!ame : Mrs. ! ("ge : 2+ ears o-d"ddress : $atu #aar

"dmitted : +10/2015!o. RM : 502

G1P0A0L0 27-28 weeks S/L/IU headpresentation + PPI

8/19/2019 mr 01092015

4/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

(1/08/201)

11.1) wita

Patient re**ered *ro enintin,P$ to 'T" G with G1P0A0(( weeks S/L/IU headpresentation other and *etawe ein, with pasenta preiatotais. Patient on*esseda,ina eedin, aon, withadoina pain spread to the*ank +3 sine 04.00(1/08/201)35 water eaked o6t*ro her wo -3 oodsi+35 +3.

istor o* 9 -35 T -35astha -3 and aer, -3.

LP : 17/2/201)!99 : 2;/11/201)

istor o* A'$ : 7< at Posand6Last res6t: 2=/08/201)3"P 100/70 ,5 G>: ((weeks5 U 22 5 transersepresentation5 " +35 ">: ;=

k,

Genera stat6sG$ : weonsio6sness: $"P : 110/70 ,P?: 80 p??: 20 pT: (45)@$

Loa stat6s!e : an -/-35 it -/-3P6o : es +/+35 rh -/-35 wh-/-3$or : S1S2 sin,e re,6ar5 -35 , -3

 Ad : striae ,raidar6 +35inea ni,ra +35 sar -3

! : 1))0 ,r U$ : 1

8/19/2019 mr 01092015

5/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

istor o* USG : 1: 27-28 weeks5!>: 1182 ,r5 se< ae5 anionear5 eno6,h5 paenta preiatotais5 !99 2=/10/201)

istor o* *ai pannin,: -'e"$: 20.8;PLT: ()8sA,: non reatie"T : 2(0C$T : 400C

Chronologist : atMeninting PHC (31-08-2015)

10.25 W!"# : %atient reerred rom

midwie 3onessed aboutabdomina- pain to the4an sin3e +060/62015

b-ood 3ome rom herwomb sin3e 07.00 wita.

$ :G* : we--*ons : *M$% : 110670mm'g'R : /896mRR : 2896m

 & : +.5o*

8/19/2019 mr 01092015

6/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

&stetri stat6sTranserse presentationU: 22 !> : 1))0 ,r U$ : 2

8/19/2019 mr 01092015

7/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

1;.00 other on*essed ao6tadoina pain

Genera stat6sG$ : weonsio6sness: $"P : =0/40 ,P?: 80 p??: 20 pT: (454@$

U$ : (

8/19/2019 mr 01092015

8/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

17.1) other on*essed ao6tadoina pain and watereaked o6t *ro her wo sine17.00 wita

Genera stat6sG$ : weonsio6sness: $"P : 100/70 ,P?: =4 p??: 20 pT: (7@$

&stetri stat6sL1 : reehL2 : ak on the ri,ht sideL( : headL; : ;/)U$ : (

8/19/2019 mr 01092015

9/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

21.() other wants to earin, down Genera stat6sG$ : weonsio6sness: $U$ : ;

8/19/2019 mr 01092015

10/20

TI! SU"#!$TI%! &"#!$TI%! ASS!SS!'T PLA''I'G

2(.;) G$ : weonsio6sness: $"P : 100/40 ,P?: =4 p??: 20 pT: (7.;@$

U$ : weU : 2 *in,ers eow 6iiaU& : not eas6red

 Atie eedin, -3

"a in 'I$U? : 1)8

8/19/2019 mr 01092015

11/20

$"##"D S*OR)

80

8/19/2019 mr 01092015

12/20

$"##"RD S*OR)

+ 8

8/19/2019 mr 01092015

13/20

;

8/19/2019 mr 01092015

14/20

8/19/2019 mr 01092015

15/20

8/19/2019 mr 01092015

16/20

8/19/2019 mr 01092015

17/20

8/19/2019 mr 01092015

18/20

8/19/2019 mr 01092015

19/20

8/19/2019 mr 01092015

20/20

.. !han% &ou ..