Mva Procedure Note
Mva Procedure Note
Mva Procedure Note
Date:
Physical Examination:
Uterus: Size in weeks (bimanual): ______ AV/Mid / RV
Cervix: WNL / CMT, parous/nullip
Vagina: WNL / discharge noted:
Procedure:
Pap done: gc, chlam done:
Cervix and vagina swabbed with Betadine.
Lidocaine 1%, _________cc total injected.
Tenaculum applied _________ o’clock.
Cervix progressively dilated to: _________.
Cannula inserted, size __________.
Estimated blood loss: ________ cc.
Additional comments:
Tissue Exam:
Decidual tissue
Villi
Gestational sac
Tissue appropriate for gestational age
Assessment:
Patient stable, AB complete
Pad checked for bleeding
For complications, see progress notes
Post-procedure vital signs:
B/P____ P____
Plan:
Expected symptoms discussed; post-procedure instructions given.
Rhogam if needed:_______________
Doxycycline 100 mg tabs 2 tab _______ Dispensed or ___ 1 gm Zithromax
Contraception: _________________________________________________
Follow up appointment recommended.
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