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Wednesday 26 December 2012

H-Mole

GESTATIONAL TROPHOBLASTIC DISEASE (GTD) Or HYDATIDIFORM MOLE (H Mole) Nursingcasestudy.blogspot.com I. PATIENTS PROFILE Name: Mrs. M. T. Address: Asocong Gusaran, Kabayan, Benguet Civil Status: Married Birth battle: 23-May-1978 Age: 29 y/o Nationality: Filipino Religion: Roman Catholic access code: Date: 09-Nov-2007 Time: 11:20 AM Admitting Clerk: F. C. Forosan attendance Physician: Dr. Paggao, Dr. Cariaga Admitting Diagnosis:G2P1(1001) Gestational Trophoblastic Disease Chief disorder: H mole. History of Present Illness: The patient was patently well until 2 months prior to admission when the patient renowned hyperactive pain with associated profuse vaginal bleeding. Consult was through into another institution where the patient was a manifest as a cause of abortion. The patient was discharged; improved after(prenominal) seven hospital days and was given the following internal medicines: Amoxicillin 500 mg TID, Methyl dopamine 250 mg 1 tab BID, and Isoxsuprine. On follow-up, ultrasound was done reveal H mole. The patient was then referred into this institution for further vigilance and work-up. Past Medical History: September 2007: Bokod, Benguet; threatened abortion.
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2006: conventionalism Spontaneous De startry to a live fetus (male) delivered by a Barangay Health Worker. No other known usual medical condition. OB-Gyne History: OB Score: G2P1 (1011) G1: 2006, NSD to a live term (M) by a BHW, house delivery. G2: present pregnancy. No known gynecologic illness Patients Diagnostic military issues: ResultReference Value a. BUN-Crealow ALT = 25 u/L30-65 u/L low Crea = 32.1 umol/L53-88 umol/L b. Hematologylow Hgb = 113 g/L120-160 g/L low Hct = 0.33 u/L0.37-0.47 u/L high WBC = 10.35-10x109/L c. Immunochemicalhigh free t4 = 1.96 mg/dL0.71-1.85 mg/dL low ultrasensitive hTSH II Gen0.49-4.67 mIU/mL = If you want to chance a full essay, order it on our website: Ordercustompaper.com

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