CF3.docx
- 1. LABOR PAINS
FEW HOURS PRIOR TO ADMISSION PATIENT EXPERIENCED LABOR
PAINS ASSOCIATED WITH SCANTY VAGINAL DISCHARGE. PATIENT
CONSULTED IN OUR INSTITUTION HENCE ADMISSION.
AWAKE, CONSCIOUS, COHERENT
GLOBULAR, FH:____FHT_____
ANICTERIC SCLERA, PINKISH PALPEBRAL CONJUNCTIVA,
MOIST LIPS & BUCCAL MUCOSA, NO MASS, NO LYMPHADENOPATHY
CERVIX __CM DILATED,___%EFFACED
( )BAG OF WATER,CEPHALIC, STATION____
SYMMETRICAL CHEST EXPANSION, NO RETRACTIONS, ( )PALLOR, ( )JAUNDICE, WARM, MOIST
CLEAR BREATH SOUNDS GOOD SKIN TURGOR
ADYNAMIC PRECORDIUM, NORMAL RATE & REGULAR RHYTHM, UNREMARKABLE
NO MURMURS
PATIENT WAS VENOCLYZED, DIAGNOSTICS WERE REQUESTED AND WAS GIVEN MEDICATIONS.
PATIENT DELIVERED VIA
WITH NO NOTED COMPLICATIONS.
PATIENT WAS MANAGED ACCORDINGLY.
SEE ATTACHED
HGB: UA:
HCT: SEE ATTACHED PUS:
WBC: RBC:
NEUTROPHILS: BACTERIA:
LYMPHOCYTES: PROTEIN:
PLATELET: