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DUTY REPORT SPHMMC
OBS/GYN DEPARTMENT
25/07/2015 E.C.
Duty consultant: Dr. Sisay
Duty residents;
R4:Dr. khalid, Markos,Temesgen,Tesema
R3;Dr. Zerihun , Ashenafi ,Tibebu ,Solomon
R1: Dr. seyoum , Ruth, Gasahaw , Gizaw
Interns :Dr. Amanuel, Abenet,
Eldana,Abigiya
EGOPD DUTY REPORT
Total number of cases seen = 44
Total number of cases admitted to LW =19
Total number of referral-out cases = 1
Total number of kept cases at EGOPD = 6
Total number of cases admitted to maternity ward = 2
Total number of cases admitted to Major OR/
procedure = 1
Total number of cases in the CAC room =1
Number of deliveries = 4
Total termination =0
Family planning coverage= 0
Patient admitted to ward
N
O
MRN Ag
e
Parity GA DIAGNOSIS PLAN
1 1148
671
2
6
II 30w
ks
MP+ EARLY PRE
TERM Px+ APH 2nd
to ?AP + PRETERM
PROM
-Follow with
APH and PROM
CHART
-Follow with
NST and BPP
2
114859
8
2
4
NP 29+5
wks
NP + EARLY
PRETERM Px + PRE
TERM PROM + PE
with SF( cerebral
symptom)
-Follow with PE
chart
-Follow with NST
and BPP
3
114876
9
2
5
I 10w
ks
PP + 1ST TM Px +
HEG
-Follow V/S,
Weight and Urine
ketone level
Patient admitted to MAJOR OR
N
O
MRN Ag
e
Parity GA DIAGNOSIS PLAN
1 9820
89
2
5
NP - IMMEDIATE postop
day after
cystectomy done
for Rt side ovarian
torsion
- Follow V/S
CASES AT CAC
NO MRN Age Pari
ty
GA DIAGNOSIS PLAN
1 11487
00
25 I UK First post
procedural day for
incomplete
abortion
-Follow
V/S
-Post
transfusio
n HCT
2 1148
806
35 PG uk Immediate
postprocedure
day for
incomplete
abortion
Follow vs
Referral out
NO MRN AG
E
PARI
TY
GA DIAGNOSIS Plan
1 11471
63
35 III 42+
1
MP+ POST TERM PX REFERED
KEPT CASES AT EGOPD
N
O
MRN Ag
e
Parity GA DIAGNOSIS PLAN
1 1149
474
2
3
0 27w
ks
NP+LATE 2ND TM
Px+ PREVIABLE
PROM
ADMIT TO
HIGH RISK
(MATERNITY)
2
113758
8
2
7
PG 31+3
wks
PE W SF(Cx Sx,
RAISED BP) + RH-VE
(UNSENSITIZED)
ADMIT TO HIGH
RISK (MATERNITY)
3
114946
9
2
3
PG 29+6
wks
NP+EARLY
PRETERM+PE W SF
(severe BP)
ADMIT TO HIGH
RISK (MATERNITY)
4
1148
593
3
6
PG 29+1
WKS
PG + EARLY
PRETERM+APH20
?AP
ADMIT TO
HIGH RISK
(MATERNITY)
5
114879
1
2
8
PG 4WK PROBABLE ECTOPIC
PREGNANCY
COLLECT Ix
6
114880
2
2
4
PG 40+6
WKS
FULL
TERM+PROM+GHT
N
ADMIT LW WHEN
BED IS AVAILABLE
FOR P&I
7
114362
9
2
6
GIIPI 41+2 1CD SCAR OPTED
TOLAC+LFSOL W
ROM
ADMIT TO LW
WHEN BED IS
AVAILABLE
8
114880
4
2
2
GIIAI 39 LFSOL+
PROLONGED ROM
ADMIT TO LW
WHEN BED
N
O
MRN Ag
e
Parity GA DIAGNOSIS PLAN
LABOR WARD DUTY REPORT
Total number of deliveries = 24
Total number of SVD = 11
Total number of CD = 10
 Emergency = 6
 Elective cesarean deliveries = 4
 C/s percentage =41.6 %
 Emergency CS percentage =25
 Total number of Instrumental deliveries = 0
 Total number of Assisted breech deliveries = 0
 Total number of complicated deliveries = 3
Total number of kept cases =6
 FP coverage = 12.5%
EMERGENCY CESAREAN DELIVERIES REPORT
N
O
MRN Ag
e
Parit
y
GA Indcations Type
of CS
Outcome
1 114866
5
28 I 40+4 CPD 2ryTO
Malposition
(ROP)
1ry
LUST
C/D
3.3kg alive male;
APGAR 7&8 at 1st
and 5th min
2 003331
1
37 I 39+6 IVF Opted for
C/D + LFSOL
1ry
LUST
C/D
2.7 kg alive female;
APGAR 7&8 at 1st
and 5th min
3 114869
7
18 I 34 NRBPP (0/10) 1 ry
LUST C/S
1.8 kg alive male;
APGAR 7&8 at 1st
and 5th min
EMERGENCY CESAREAN DELIVERIES REPORT
N
O
MRN Age Parit
y
GA Indcations Type
of CS
Outcome
4 11482
83
28 II 33 NRBPP(0/10) REPEA
R LUST
C/D
1.1 kg alive male;
APGAR 3 & 6at 1st
and 5th min
5 11471
68
29 I 42 NRFHRP(FETAL
BRADYCARDIA)
1RY
LUST
C/D
3.5 kg alive female;
APGAR 7&8 at 1st
and 5th min
6 11494
75
36 III 40 PEWSF (Raised
BP) + BIG BABY
1RY
LUST
C/D
4 kg alive female;
APGAR 8&9 at 1st
and 5th min
N
O
MRN AG
E
A,
PARIT
Y
DIAGNOSIS PLAN
1 1148658 22 P0 IMMEDIATE POST
EXPULSION
ADVICED ON
ABLACTATION,
ADVICED ON ASPIRIN FOR
NEXT PREGNANCY,
TRANSFER TO MW
2 1147311 28 PI IMMEDIATE POST
PARTUM
ADVICED ON
ABLACTATION,
ADVICED ON ASPIRIN
FOR NEXT PREGNANCY,
TRANSFER TO MW
3 1148673 35 PI IMMEDIATE POST
PARTUM
ADVICED ON
ABLACTATION,
ADVICED ON ASPIRIN
FOR NEXT PREGNANCY
MGSO4
COMPLICATED VAGINAL DELIVERY
N
O
MRN AG
E
GRAVID
A,
PARIT
Y
GA DIAGNOSIS BIS
HOP
Scor
e
Done
and
PLAN
1 114849
9
25 PG 36+3 WKS Late preterm + PE
w SF( BP)
10 inducti
on
2 114578
2
21 PG 36+1 WKS Late preterm + PE
w SF( LOW PLTS
9 inducti
on
3 114879
0
26 GIIPI 39+1 WKS PE w SF(CX SX) 9
inductio
n
4 114869
9
23 PG UK date 3rd TM Px+ PE w
SF(BP)+ LFSOL W
ROM
Follow
labor
progres
s
KEPT CASES AT LABOR WARD
N
O
MRN A
GE
GRAVI
DA,
PARI
TY
GA DIAGNOSIS BISH
OP
Score
PLAN
5 11486
78
25 PG 38+5 Term PROM
(prolonged)
10 induction
6 11471
92
32 VII 29+5 IUFD+BREECH+GDM
ON DIETRY MGT
KEPT CASES AT LABOR WARD
N
O
MRN AG
E
PARI
TY
DIAGNOSIS DONE AND PLAN
1 11482
83
28 II  Immediate post op
 PPH 2ry to atony
(medically
managed)
 PW with SF
TRANSFUSED WITH 02
UNIT PRBC,FFP,PTL
COLLECT INVESTIGATION
TRANSFER TO MW
KEPT AT HDU

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APRIL 3.pptx

  • 1. DUTY REPORT SPHMMC OBS/GYN DEPARTMENT 25/07/2015 E.C. Duty consultant: Dr. Sisay Duty residents; R4:Dr. khalid, Markos,Temesgen,Tesema R3;Dr. Zerihun , Ashenafi ,Tibebu ,Solomon R1: Dr. seyoum , Ruth, Gasahaw , Gizaw Interns :Dr. Amanuel, Abenet, Eldana,Abigiya
  • 2. EGOPD DUTY REPORT Total number of cases seen = 44 Total number of cases admitted to LW =19 Total number of referral-out cases = 1 Total number of kept cases at EGOPD = 6 Total number of cases admitted to maternity ward = 2 Total number of cases admitted to Major OR/ procedure = 1 Total number of cases in the CAC room =1 Number of deliveries = 4 Total termination =0 Family planning coverage= 0
  • 3. Patient admitted to ward N O MRN Ag e Parity GA DIAGNOSIS PLAN 1 1148 671 2 6 II 30w ks MP+ EARLY PRE TERM Px+ APH 2nd to ?AP + PRETERM PROM -Follow with APH and PROM CHART -Follow with NST and BPP 2 114859 8 2 4 NP 29+5 wks NP + EARLY PRETERM Px + PRE TERM PROM + PE with SF( cerebral symptom) -Follow with PE chart -Follow with NST and BPP 3 114876 9 2 5 I 10w ks PP + 1ST TM Px + HEG -Follow V/S, Weight and Urine ketone level
  • 4. Patient admitted to MAJOR OR N O MRN Ag e Parity GA DIAGNOSIS PLAN 1 9820 89 2 5 NP - IMMEDIATE postop day after cystectomy done for Rt side ovarian torsion - Follow V/S
  • 5. CASES AT CAC NO MRN Age Pari ty GA DIAGNOSIS PLAN 1 11487 00 25 I UK First post procedural day for incomplete abortion -Follow V/S -Post transfusio n HCT 2 1148 806 35 PG uk Immediate postprocedure day for incomplete abortion Follow vs
  • 6. Referral out NO MRN AG E PARI TY GA DIAGNOSIS Plan 1 11471 63 35 III 42+ 1 MP+ POST TERM PX REFERED
  • 7. KEPT CASES AT EGOPD N O MRN Ag e Parity GA DIAGNOSIS PLAN 1 1149 474 2 3 0 27w ks NP+LATE 2ND TM Px+ PREVIABLE PROM ADMIT TO HIGH RISK (MATERNITY) 2 113758 8 2 7 PG 31+3 wks PE W SF(Cx Sx, RAISED BP) + RH-VE (UNSENSITIZED) ADMIT TO HIGH RISK (MATERNITY) 3 114946 9 2 3 PG 29+6 wks NP+EARLY PRETERM+PE W SF (severe BP) ADMIT TO HIGH RISK (MATERNITY)
  • 8. 4 1148 593 3 6 PG 29+1 WKS PG + EARLY PRETERM+APH20 ?AP ADMIT TO HIGH RISK (MATERNITY) 5 114879 1 2 8 PG 4WK PROBABLE ECTOPIC PREGNANCY COLLECT Ix 6 114880 2 2 4 PG 40+6 WKS FULL TERM+PROM+GHT N ADMIT LW WHEN BED IS AVAILABLE FOR P&I 7 114362 9 2 6 GIIPI 41+2 1CD SCAR OPTED TOLAC+LFSOL W ROM ADMIT TO LW WHEN BED IS AVAILABLE 8 114880 4 2 2 GIIAI 39 LFSOL+ PROLONGED ROM ADMIT TO LW WHEN BED N O MRN Ag e Parity GA DIAGNOSIS PLAN
  • 9. LABOR WARD DUTY REPORT Total number of deliveries = 24 Total number of SVD = 11 Total number of CD = 10  Emergency = 6  Elective cesarean deliveries = 4  C/s percentage =41.6 %  Emergency CS percentage =25  Total number of Instrumental deliveries = 0  Total number of Assisted breech deliveries = 0  Total number of complicated deliveries = 3 Total number of kept cases =6  FP coverage = 12.5%
  • 10. EMERGENCY CESAREAN DELIVERIES REPORT N O MRN Ag e Parit y GA Indcations Type of CS Outcome 1 114866 5 28 I 40+4 CPD 2ryTO Malposition (ROP) 1ry LUST C/D 3.3kg alive male; APGAR 7&8 at 1st and 5th min 2 003331 1 37 I 39+6 IVF Opted for C/D + LFSOL 1ry LUST C/D 2.7 kg alive female; APGAR 7&8 at 1st and 5th min 3 114869 7 18 I 34 NRBPP (0/10) 1 ry LUST C/S 1.8 kg alive male; APGAR 7&8 at 1st and 5th min
  • 11. EMERGENCY CESAREAN DELIVERIES REPORT N O MRN Age Parit y GA Indcations Type of CS Outcome 4 11482 83 28 II 33 NRBPP(0/10) REPEA R LUST C/D 1.1 kg alive male; APGAR 3 & 6at 1st and 5th min 5 11471 68 29 I 42 NRFHRP(FETAL BRADYCARDIA) 1RY LUST C/D 3.5 kg alive female; APGAR 7&8 at 1st and 5th min 6 11494 75 36 III 40 PEWSF (Raised BP) + BIG BABY 1RY LUST C/D 4 kg alive female; APGAR 8&9 at 1st and 5th min
  • 12. N O MRN AG E A, PARIT Y DIAGNOSIS PLAN 1 1148658 22 P0 IMMEDIATE POST EXPULSION ADVICED ON ABLACTATION, ADVICED ON ASPIRIN FOR NEXT PREGNANCY, TRANSFER TO MW 2 1147311 28 PI IMMEDIATE POST PARTUM ADVICED ON ABLACTATION, ADVICED ON ASPIRIN FOR NEXT PREGNANCY, TRANSFER TO MW 3 1148673 35 PI IMMEDIATE POST PARTUM ADVICED ON ABLACTATION, ADVICED ON ASPIRIN FOR NEXT PREGNANCY MGSO4 COMPLICATED VAGINAL DELIVERY
  • 13. N O MRN AG E GRAVID A, PARIT Y GA DIAGNOSIS BIS HOP Scor e Done and PLAN 1 114849 9 25 PG 36+3 WKS Late preterm + PE w SF( BP) 10 inducti on 2 114578 2 21 PG 36+1 WKS Late preterm + PE w SF( LOW PLTS 9 inducti on 3 114879 0 26 GIIPI 39+1 WKS PE w SF(CX SX) 9 inductio n 4 114869 9 23 PG UK date 3rd TM Px+ PE w SF(BP)+ LFSOL W ROM Follow labor progres s KEPT CASES AT LABOR WARD
  • 14. N O MRN A GE GRAVI DA, PARI TY GA DIAGNOSIS BISH OP Score PLAN 5 11486 78 25 PG 38+5 Term PROM (prolonged) 10 induction 6 11471 92 32 VII 29+5 IUFD+BREECH+GDM ON DIETRY MGT KEPT CASES AT LABOR WARD
  • 15. N O MRN AG E PARI TY DIAGNOSIS DONE AND PLAN 1 11482 83 28 II  Immediate post op  PPH 2ry to atony (medically managed)  PW with SF TRANSFUSED WITH 02 UNIT PRBC,FFP,PTL COLLECT INVESTIGATION TRANSFER TO MW KEPT AT HDU