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    Anemia

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    MANO
    A 23-year-old primigravida woman presented with 8 months of amenorrhea and anemia. On examination, she appeared pale with a single fetus in cephalic presentation at 34 weeks and 5 days gestation. Laboratory tests were ordered to further evaluate and manage her anemia complicating the pregnancy.

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    Anemia

    Uploaded by

    MANO
    54 views23 pages
    A 23-year-old primigravida woman presented with 8 months of amenorrhea and anemia. On examination, she appeared pale with a single fetus in cephalic presentation at 34 weeks and 5 days gestation. Laboratory tests were ordered to further evaluate and manage her anemia complicating the pregnancy.

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    A 23-year-old primigravida woman presented with 8 months of amenorrhea and anemia. On examination, she appeared pale with a single fetus in cephalic presentation at 34 weeks and 5 days gestation. Laboratory tests were ordered to further evaluate and manage her anemia complicating the pregnancy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    54 views23 pages

    Anemia

    Uploaded by

    MANO
    A 23-year-old primigravida woman presented with 8 months of amenorrhea and anemia. On examination, she appeared pale with a single fetus in cephalic presentation at 34 weeks and 5 days gestation. Laboratory tests were ordered to further evaluate and manage her anemia complicating the pregnancy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    A CASE OF ANEMIA

    COMPLICATING PREGNANCY
    A 23 years old Mrs.Mohanapriya , who is a
    primigravida residing at Kunnur ,
    belonging to class4 socioeconomic status
    with the history of 8 months of
    amenorrhea was referred from
    Kodaikanal PHC to GTMCH for correction
    of anemia
    LMP :25/7/18
    EDD :1/5/19
     Able to perceive fetal movements
     No history of abdominal pain
     No history of bleeding / draining pervaginam
     No history of breathlessness & palpitation
     No history of pedal odema
    • MENSTRUAL HISTORY :
    Attained Menarche at 16 years of age
    Regular cycles once in 30 days lasting
    for 4-5 days
    She changes 3-4 pads per day
    Not associated with clots
    LMP : 25/7/18
    • MARITAL HISTORY :
    Married since 18 months
    Third degree consanguineous marriage
    No contraceptives used
    • OBSTETRIC HISTORY :
    She conceived spontaneously after 10
    months of marriage
    Confirmed her pregnancy after 60 days of
    amenorrhea by UPT at Kunnur PHC
    Booked and immunised at Kunnur PHC
    • FIRST TRIMESTER :
    No H/o excessive vomiting
    No H/o fever with rashes
    No H/o drug or radiation exposure
    No H/o spotting PV
    Folic acid tablets were taken
    A scan was done by 3 months
    No H/o burning micturition
    • SECOND TRIMESTER :
    H/o quickening felt at 5th month
    H/o Anomaly scan done at 5th month
    H/o GCT done by 5th month
    Iron tablets were taken
    No H/o bleeding PV
    No H/o imminent symptoms
    No H/o deworming
    • THIRD TRIMESTER :
    Able to perceive fetal movements
    No H/o abdominal pain
    No H/o bleeding and draining PV
    A scan was done at 7th month
    On routine blood investigation, she was
    found to be anemic and was referred to
    GTMCH
    • PAST HISTORY :
    Not a known case of Diabetes mellitus,
    Hypertension , Tuberculosis , Asthma ,
    Epilepsy , Thyroid disorders and
    Cardiovascular diseases
    No previous history of any surgeries
    No previous history of blood
    transfusion
    • PERSONAL HISTORY :
    Mixed diet
    Normal bowel and bladder habits
    • FAMILY HISTORY :
    No relevant family history
    GENERAL EXAMINATION

    • Patient is afebrile , ill built and ill nourished


    • Comfortable at rest
    • On examination , she has PALLOR
    • No Icterus
    • No Pedal odema
    • No Koilonychia , glossitis
    • PRESENT WEIGHT : 42 kg
    • PRE PREGNANCY WEIGHT : 35 kg
    • HEIGHT : 142 cm
    • PRE PREGNANCY BMI : 17.36
    VITALS

    • Pulse Rate – 70 per minute, normal in volume


    and regular in rhythm , no radioradial delay
    • Respiratory Rate – 14 per minute
    • Blood Pressure – 100/ 80 mm Hg
    SYSTEMIC EXAMINATION
    • CVS – S1,S2 heard . No murmurs
    • RS – Normal vesicular breath sounds heard .
    No added sounds
    • CNS – No focal neurological deficit
    • Thyroid - No swelling
    • Breast - Normal
    ABDOMINAL EXAMINATION
    • INSPECTION :
    Abdomen longitudinally enlarged
    Umbilicus flushed
    Striae gravidorum and Linea nigra seen
    No scars , no sinuses , no distented veins
    ABDOMINAL EXAMINATION
    • PALPATION :
    Fundal height corresponds to 32 weeks
    Symphysio Fundal Height – 32 cm
    1.Fundal grip – soft,broad non ballotable
    mass occupying the fundus
    2.Umbilical grip – uniform curved resistance
    is felt , probably spine occupying left side
    Irregular nodules are felt, probably limb
    buds on the right side
    • PALPATION :

    3.FIRST PELVIC GRIP:


    Independently ballotable hard
    mass – head occupying the lower pole
    4.SECOND PELVIC GRIP:
    Head is not engaged
    ABDOMINAL EXAMINATION
    • AUSCULTATION :
    Fetal Heart sound is heard at the
    middle of left spinoumbilical line
    Fetal Heart Rate – 140 per minute
    SUMMARY

    A 23 Years old Primigravida Mrs. Mohanapriya


    with 8 months of amenorrhea , with
    gestational age of 34weeks 5 days. EDD is
    1/5/2019 On examination she is pale with
    single viable fetus in cephalic presentation
    and good fetal heart rate has been admitted
    for the management of Anemia
    INVESTIGATIONS
    • Complete hemogram
    • Blood grouping and typing
    • Peripheral smear
    • Stool examination
    • HIV, VDRL
    • Urine albumin , sugar deposits
    • Serum ferritin , TIBC

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