Perinatal mort
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This document summarizes the prenatal care and delivery of a 32-year-old woman, NFMZ, on her fourth pregnancy. She was diagnosed with late-onset preeclampsia and had two hospital admissions for elevated blood pressure. At 32 weeks gestation, she experienced severe back pain and vaginal bleeding and was transported to the hospital where an ultrasound showed no fetal heartbeat. She delivered a stillborn baby girl weighing 1.7 kg and was discharged after one week, with instructions to monitor her blood pressure postpartum.
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higher Ito in the epicardium. In certain situations (such
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increased in a nonuniform manner in different regions
of the epicardium, leading to epicardial dispersion of
repolarization [Figure 4]. This creates a transmural
gradient between epicardium and endocardium, which
manifests as the typical ST‑segment elevation pattern on
surface ECG.
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SIGNOUT Pocket Card
Mr. Jones is a 77-year-old man hospitalized for right middle lobe pneumonia who spiked a fever. His chest x-ray and vital signs have improved with IV antibiotics. The doctor plans to monitor for possible sepsis given the fever and redness at his IV site, starting normal saline and being prepared to involve the ICU if needed overnight. Any questions from the night team should be directed to checking his vital signs and exam.
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1. A 21-year-old female student presented with a chief complaint of fever for 20 hours, nausea, vomiting and headache. On examination, she had a fever of 38.7°C and tenderness in the epigastrium.
2. Laboratory findings showed thrombocytopenia and leukopenia.
3. The working diagnosis was suspected viral infection as the cause of the fever, based on the sudden onset of symptoms and negative physical exam findings. Further NS1 testing was recommended to evaluate for possible dengue infection.
case study - Urinary tract infection with diabetes mellitus
This document presents a case study of a 70-year-old female patient admitted to the hospital with a urinary tract infection and diabetes. The patient presented with fever, difficulty urinating, fatigue, pain, nausea, vomiting, burning urination, and weakness. Tests revealed a urinary tract infection with high blood sugar levels. She was given antibiotics and antidiabetic medications and advised on lifestyle changes to prevent future infections.
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Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: Saving Mothers and Babies was developed in response to the high maternal and perinatal mortality rates found in most developing countries. Learning material used in this book is based on the results of the annual confidential enquiries into maternal deaths and the Saving Mothers and Saving Babies reports published in South Africa. It addresses: the basic principles of mortality audit, maternal and perinatal mortality, managing mortality meetings, ways of reducing maternal and perinatal mortality rates, This book should be used together with the Perinatal Problem Identification Programme (PPIP).
Infant mortality rate
The infant mortality rate (IMR) is the number of infant deaths per 1000 live births. IMR is an important indicator of a country's development level and standard of living. Globally, IMR has significantly declined since 1960 due to improved healthcare, though it remains much higher in less developed countries. Common causes of infant mortality include low birth weight, respiratory issues, SIDS, and lack of essentials like food, shelter and water. Reducing behaviors like smoking during pregnancy and improving literacy, prenatal care, and access to health services can help lower IMR.
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Hospital Dentistry
This document contains medical records for a patient admitted for cauterization of genital warts. It includes admission orders, vital sign records, laboratory and ultrasound results, physician notes, and medication orders. The patient was admitted under Dr. Maglaya/Acuna/Sumpang/Villamor and consent was secured for cauterization. Laboratory tests showed anemia. The patient underwent cauterization and was discharged with oral medications including antibiotics and pain relievers.
A case study on pulmonary oedema
A 44-year-old male patient presented with shortness of breath for 3 days and was found to have a blood pressure of 210/140 mmHg. His medical history included hypertension and chronic kidney disease requiring dialysis. Laboratory tests revealed pulmonary edema on a chest x-ray. He was diagnosed with acute pulmonary edema exacerbated by accelerated hypertension. Medications were prescribed to treat the pulmonary edema and lower his blood pressure.
Dr emad antar case
- A 48-year-old man with a history of hypertension, diabetes, end-stage renal disease, and heart disease was admitted due to a malfunctioning permanent catheter and shortness of breath.
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- Lab results and exams showed improvements in kidney function and symptoms over the course of treatment and interventions for his renal failure and access issues.
DeNGUE HAEMORRHAGIC FEVER (case presentation)
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Ms. AR, a 23-year-old female, presented with fever and chills for one week and loose stools for three days. She has a history of urinary tract infections and myoclonic jerks, for which she takes levetiracetam. Laboratory tests showed anemia and elevated inflammatory markers. She was treated with intravenous fluids, antibiotics, antipyretics, and antiepileptics. Blood and urine cultures showed no growth and her fever subsided. She was discharged in a stable condition with medications including levetiracetam, antibiotics, and antipyretics, and instructed to follow-up in three days.
RASH, ARTHRITIS,LUPUS NEPHRITIS
A 14-year-old boy presented with multiple joint pains for 15 days gradually involving major joints and restricting movement. He also had fever for 10 days accompanied by a rash on his lower extremities and trunk. Examination and investigations revealed increased inflammatory markers, positive autoantibodies, and a kidney biopsy showing class IV-G lupus nephritis. He was diagnosed with systemic lupus erythematosus (SLE) with secondary lupus nephritis and discharged on oral steroids and hydroxychloroquine.
Brugada syndrome
Repolarization theory
The early phase of the action potential (AP) in epicardial
cells demonstrates spike and dome morphology (Phase 1
and Phase 2). This period of the AP is influenced by
the fast inward sodium current INa, transient outward
potassium current Ito, and L‑type calcium current ICal. As
the dome is depressed, the epicardial AP is shortened.[67]
The interplay of currents during Phase 1 of the AP can
lead to depression of the AP dome. Normally, there is
higher Ito in the epicardium. In certain situations (such
as SCN5A or KCNE3 mutations), the Ito may become
increased in a nonuniform manner in different regions
of the epicardium, leading to epicardial dispersion of
repolarization [Figure 4]. This creates a transmural
gradient between epicardium and endocardium, which
manifests as the typical ST‑segment elevation pattern on
surface ECG.
Case Representation on Typhoid
This document contains a case report of a 12-year old male patient admitted to the hospital with complaints of high fever, body aches, vomiting and malaise. Laboratory tests confirmed the diagnosis of typhoid fever. The patient was treated with intravenous antibiotics, antipyretics and other supportive medications over a period of 3 days, after which his fever and other symptoms were controlled. The pharmacist made recommendations to rationalize the treatment and provide counseling to the patient regarding prevention of future typhoid infections.
A case study on typhoid fever
Mr. X, a 25-year-old male, presented with a high fever for one week and one episode of vomiting. His medical history included diabetes and hypertension. On examination, his temperature was 104 F, pulse was 102 beats/min, and blood pressure was 110/80 mm Hg. Laboratory tests confirmed paratyphoid A fever. He was diagnosed with paratyphoid A fever and treated intravenously with cefoperazone, sulbactam, pantoprazole, ondansetron, and ofloxacin. Upon discharge, he was advised to take paracetamol and pantoprazole tablets.
Parathyroidectomy case..abdo-shaban
A 53-year-old male has been undergoing regular hemodialysis for end-stage renal disease (ESRD) for the past 6 years. He has a history of secondary hyperparathyroidism with elevated parathyroid hormone (PTH) levels over 2000. Medical treatment with vitamin D analogs and cinacalcet failed to control his PTH levels. Due to the failure of medical management and severe hyperparathyroidism, the patient is scheduled to undergo parathyroidectomy, which is the recommended treatment in cases of ESRD with tertiary hyperparathyroidism that do not respond to oral medications.
CASE PRESENTATION ON RHEUMATOID ARTHRITIS
A 57-year-old female was admitted with non-healing ulceration of the left ankle, edema of both lower limbs, and joint pain with intermittent fever. Her history and examinations were consistent with rheumatoid arthritis. She was treated with aspirin, prednisolone, methotrexate, folic acid, and other medications. Her joint pain and edema improved over her 6-day hospital stay, and she was discharged on medications with follow-up planned.
Facilitators workbook
1. Use the pre-ART and ART registers to fill out measures on the monthly summary sheet, including the number of new patients enrolled in HIV care, cumulative patients ever enrolled, patients eligible but not started on ART, and patients started on ART or PEP this month.
2. The number of patients eligible but not started on ART is found by counting those in the pre-ART register with an eligibility date but no ART start date.
3. The number currently on ARVs is found by counting patients in the ART register with an ARV regimen listed for the terminal month.
4.
Weil's disease: Case presentation
A 54-year-old male farmer presented with fever, body aches, and jaundice for several days. He worked in fields and around animals. On examination, he was febrile and tachycardic with irregular pulse. Tests found elevated liver enzymes and leptospira IgM antibodies. He was diagnosed with severe leptospirosis (Weil's disease) due to his occupation and exposure. He received antibiotics and supportive care and recovered within two weeks. Leptospirosis can mimic other diseases but a high index of suspicion is important for farmers and those exposed to animals or fields.
A case study on renal calculi
Mr. X, a 31-year-old male, presented with radiating pain towards his back and front side since September. His medical history was unremarkable. Physical examination found no abnormalities. Ultrasound revealed a dilated left kidney and microliths in the right kidney, leading to a diagnosis of right renal calculi. He was prescribed diclofenac, norfloxacin, ranitidine, and vitamin B1 to treat his condition over three days. The patient was counseled to drink more water, follow a low calcium diet, avoid high oxalate foods if his uric acid was elevated, and exercise daily.
Case AbdulMonaim
This document presents the case of a 35-year-old man who presented with right groin pain radiating to his leg. He was diagnosed with musculoskeletal pain and discharged with pain medications. He returned with sudden right-sided weakness. Imaging revealed an acute stroke in the left basal ganglia region of the brain. He was admitted and discharged with medications and physiotherapy with a final diagnosis of stroke secondary to an acute lentiform infarct.
SIGNOUT Pocket Card
Mr. Jones is a 77-year-old man hospitalized for right middle lobe pneumonia who spiked a fever. His chest x-ray and vital signs have improved with IV antibiotics. The doctor plans to monitor for possible sepsis given the fever and redness at his IV site, starting normal saline and being prepared to involve the ICU if needed overnight. Any questions from the night team should be directed to checking his vital signs and exam.
Probable dengue
1. A 21-year-old female student presented with a chief complaint of fever for 20 hours, nausea, vomiting and headache. On examination, she had a fever of 38.7°C and tenderness in the epigastrium.
2. Laboratory findings showed thrombocytopenia and leukopenia.
3. The working diagnosis was suspected viral infection as the cause of the fever, based on the sudden onset of symptoms and negative physical exam findings. Further NS1 testing was recommended to evaluate for possible dengue infection.
case study - Urinary tract infection with diabetes mellitus
This document presents a case study of a 70-year-old female patient admitted to the hospital with a urinary tract infection and diabetes. The patient presented with fever, difficulty urinating, fatigue, pain, nausea, vomiting, burning urination, and weakness. Tests revealed a urinary tract infection with high blood sugar levels. She was given antibiotics and antidiabetic medications and advised on lifestyle changes to prevent future infections.
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Approximately 66% of post-mortem evaluations of the adrenal gland in HIV patients show abnormalities. Common infectious etiologies include CMV, Mycobacterium tuberculosis, Histoplasmosis, PCP, Toxoplasmosis, and Kaposi sarcoma.What's hot (20)
case study - Urinary tract infection with diabetes mellitus
case study - Urinary tract infection with diabetes mellitus
An Unusual Presentation of a Known HIV Related Condition Presenting as a Sept...
An Unusual Presentation of a Known HIV Related Condition Presenting as a Sept...
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Saving Mothers and Babies: Perinatal mortality
Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: Saving Mothers and Babies was developed in response to the high maternal and perinatal mortality rates found in most developing countries. Learning material used in this book is based on the results of the annual confidential enquiries into maternal deaths and the Saving Mothers and Saving Babies reports published in South Africa. It addresses: the basic principles of mortality audit, maternal and perinatal mortality, managing mortality meetings, ways of reducing maternal and perinatal mortality rates, This book should be used together with the Perinatal Problem Identification Programme (PPIP).
Infant mortality rate
The infant mortality rate (IMR) is the number of infant deaths per 1000 live births. IMR is an important indicator of a country's development level and standard of living. Globally, IMR has significantly declined since 1960 due to improved healthcare, though it remains much higher in less developed countries. Common causes of infant mortality include low birth weight, respiratory issues, SIDS, and lack of essentials like food, shelter and water. Reducing behaviors like smoking during pregnancy and improving literacy, prenatal care, and access to health services can help lower IMR.
Maternal mortality
Maternal mortality is defined as the death of a woman during pregnancy or within 42 days of termination of pregnancy. The three main causes of maternal death are hemorrhage, infection, and hypertensive disorders, which together account for 75-80% of direct maternal deaths. India accounts for 25% of global maternal deaths despite having only 16% of the world's population. Every year approximately 8 million women suffer from pregnancy related complications worldwide and over half a million die. Maternal mortality can be greatly reduced by ensuring access to quality emergency obstetric care services and family planning programs.
Saving Mothers and Babies: Maternal and perinatal mortality audits
Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: Saving Mothers and Babies was developed in response to the high maternal and perinatal mortality rates found in most developing countries. Learning material used in this book is based on the results of the annual confidential enquiries into maternal deaths and the Saving Mothers and Saving Babies reports published in South Africa. It addresses: the basic principles of mortality audit, maternal and perinatal mortality, managing mortality meetings, ways of reducing maternal and perinatal mortality rates, This book should be used together with the Perinatal Problem Identification Programme (PPIP).
Imr
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Saving Mothers and Babies: Finding solution to maternal and perinatal mortality
Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: Saving Mothers and Babies was developed in response to the high maternal and perinatal mortality rates found in most developing countries. Learning material used in this book is based on the results of the annual confidential enquiries into maternal deaths and the Saving Mothers and Saving Babies reports published in South Africa. It addresses: the basic principles of mortality audit, maternal and perinatal mortality, managing mortality meetings, ways of reducing maternal and perinatal mortality rates, This book should be used together with the Perinatal Problem Identification Programme (PPIP).
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Newborn Care was written for healthcare workers providing special care for newborn infants in level 2 hospitals. It covers: An essential tool in the initial and ongoing training and teaching of any healthcare worker – Miriam Adhikari, South African Journal of Child Health, Primary Newborn Care was written specifically for nurses, midwives and doctors who provide primary care for newborn infants in level 1 clinics and hospitals. It covers: Mother and Baby Friendly Care describes gentler, kinder, evidence-based ways of caring for women during pregnancy, labour and delivery. It also presents improved methods of providing infant care with an emphasis on kangaroo mother care and exclusive breastfeeding. It covers: Saving Mothers and Babies was developed in response to the high maternal and perinatal mortality rates found in most developing countries. Learning material used in this book is based on the results of the annual confidential enquiries into maternal deaths and the Saving Mothers and Saving Babies reports published in South Africa. It addresses: the basic principles of mortality audit, maternal and perinatal mortality, managing mortality meetings, ways of reducing maternal and perinatal mortality rates, This book should be used together with the Perinatal Problem Identification Programme (PPIP).
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This document discusses the program review and planning cycle at LATTC and options for improving the process. It notes that LATTC received an accreditation recommendation to fully integrate program review, planning, and resource allocation. Two approaches are examined: a staggered program review by program every 4 years, or using modular cycles where all programs address 2-3 sections each year. The modular approach may better synchronize the college planning process and enable more relevant use of program review results, though it would be a new process requiring approval and time to implement. Input and questions are solicited on the pros and cons of each approach.
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This document defines various mortality rates used to measure child mortality and provides statistics for Canada in 2007. It defines perinatal mortality as deaths from 22 weeks of gestation to 7 days after birth. Neonatal mortality is defined as deaths from birth to 28 days. Infant mortality is deaths under 1 year of age. The under-5 mortality rate measures the probability of a child dying before age 5.
Perinatal Mortality Trend at KMC Teaching Hospital
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My name is
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Saving Mothers and Babies: Maternal and perinatal mortality audits
Saving Mothers and Babies: Maternal and perinatal mortality audits
Saving Mothers and Babies: Finding solution to maternal and perinatal mortality
Saving Mothers and Babies: Finding solution to maternal and perinatal mortality
Saving Mothers and Babies: Introduction to maternal and perinatal mortality
Saving Mothers and Babies: Introduction to maternal and perinatal mortality
Perinatal Mortality Trend at KMC Teaching Hospital
Perinatal Mortality Trend at KMC Teaching Hospital
Global Open Educational Resources Graduate Network Portal
Global Open Educational Resources Graduate Network Portal
OER in the Mobile Era: Content Repositories’ Features for Mobile Devices and ...
OER in the Mobile Era: Content Repositories’ Features for Mobile Devices and ...
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- 1. PERINATAL MORTALITY PRESENTATION Baby of NFMZ By Dr. N KK DR
- 2. Mother’s history Name :NFMZ Age : 32 G4P3 Bld group : O +ve VDRL & HIV : non reactive Occupation : Teacher at XXXX PAST OBS HX : Uneventful Summary of Visits Booking done at 8/52 POA @ GP X 4 Antenatal check ups at GP X First visit to KK Desarhu @ 31/52 POA Visit to KK 3 times Visit to MO 2 times H/o hospital admission x 3 ( 1 referred from GP X, 2 REFERRED BY KK DR)
- 3. 1ST BOOKING@ GP X (& subsequent follow ups) Date POA BP W=k g Alb SFH 30/7 8w3d 106/65 94 - - 18w6 d 119/74 98 N 18 23/11 25w 98/60 100 N 24 3/1 30w4 d 150/60 110 +++ 30 Ix : FBC - hb 10.8 mch 26 Blood Group : O+ve HIV : Non reactive Hb Remarks - 10.8 Fh US : S CRL 12mm 7w6d Follow date Show n Request MGTT Show n MGTT 4.5/4.6 Referal to GH STAT
- 4. First Admission To GOV HOSP (3/1/2014 5/1/2014) Referred from GP X Patient admitted for 2 days. Dx as Late Onset of PIH with UTI Plan : EOD BP at nearest KK 2/52 TCA ANC in 2/52 (22nd January 2014) To complete Unasyn 375 mg BD for 2/52 Not for anti hypertensive medication
- 5. First Booking At KK DR At 6/1/2014 at 30/52 POA ANC : Late PIH in pregnancy not on RX Previous ANC claimed uneventful During examination , no fresh complain noted edema both legs BP 150/100 repeated 160/100 Urine Albumin 3+ S/T Specialist O+G on call For T. Nifedifine 10mg TDS For Admission STAT
- 6. 2nd Admission to Hospital (6/1/2014 – 7/1/2014) Diagnosis upon discharge as PIH Plan Upon Discharge EOD BP at KK 2/52 NOT for medication
- 7. 2nd Visit to MO in KK DR (after discharged from ward) 10 January 2014 BP noted 1)140/100 2)140/90 Otherwise patient asymptomatic Urine Alb : NIL S/T Specialist O+G on call Plan : - Start on T. Labetolol 100mg TDS - Cont EOD BP 2/52 - For PE Profile - TCA ANC at given date (22/1/2014)
- 8. Summary Of F/u at KK DR Date POA Weigh t BP 6/1/14 30w 106.5 10/1/14 31w5d 12/1/14 32w SFH Hb Remarks 150/10 3+ 0 160/110 30cm 10.6 ADMITTED til 7th Jan 140/10 0 140/90 - 31cm - Started on T.Labetolol 100mg TDS 30cm - HomeVisit (Sunday) 2nd BP on L Lateral 140/90 120/80 Alb NIL
- 9. 13th Jan 2014( POA 32 w 1 day) Pt went to work as usual , no symptom of labor , FM good. At 11am, pt felt severe backpain and noted trickling of per vaginal bleed by12pm Ambulance called from workplace(Sekolah XX) at her school and pt was sent to Hosp at 1230pm , strong contraction felt and was sent to Labour room straight BP was 156/116 and urine alb 2+ , patient was transferred to OICW Ultrasound done : Fetal heart not detected Induced at 2pm and delivered at 4.06pm Baby girl delivered 1.7kg 0’ 0” no resuscitation done ?Baby passed away at 1606pm at OICW , HTJ MOTHER was discharged on 17th January 2014 COD : Fresh still birth secondary to abruptio placenta complicated with primary PPH, severe pre eclampsia
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