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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:

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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: