hujkiolllk

1. Provincial Government of Tarlac
Provincial Health Office
Tarlac Provincial Hospital
Landline: (045) 491 8970, Fax: (045) 982 1306
Email: TARLACPROVNICIALHOSPITAL@yahoo.com
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
CLINICAL ABSTRACT
GENERAL DATA:
The patient is , a G P ( ) from
who was admitted last
HISTORY OF PRESENT ILLNESS:
Few hours PTA ----------------- the patient experienced hypogastric pain radiating to the
lumbosacral area accompanied with good fetal movement hence consult and subsequent admission.
PHYSICAL EXAMINATION:
Conscious, coherent, oriented not in distress
BP: PR: RR: Temp: afebrile
Pink palpebral conjunctivae, anicteric sclera
FH: FHT
IE: cervix dilated, effaced, cephalic, ( ) Bag Of Water, St
COURSE IN THE WARD:
Upon admission the patient was hooked to IVF and diagnostics were requested.
Patient had
On the 1st
HD the patient was started on diet as tolerated and stable
Patient was managed accordingly and the rest of the hospital day was unremarkable.
LABORATORY RESULTS WITH PROCEDURE/S:
See attached
FINAL DIAGNOSIS:
G P ( ) Pregnancy Uterine Delivered term, , Live Baby
APGAR Score: Birthweight: kg, Ballard Score: weeks, for Gestational
Age by
____________________