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Illustration of a medical procedure showing a 19-year-old female patient in a hospital setting undergoing a cervical examination during labor. The image could include medical professionals, equipment, and the patient in the described scenario.

Navigating Patient CD's Medical Journey: A Diagnostic Procedure Following Childbirth and Previous Miscarriage

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Question: diagnostic procedure for In March 2024, 3 days prior to admission, Patient CD, a 19-year-old female residing in Parola, Tondo, was admitted to Bagong Ospital ng Maynila Medical Center due to abdominal pain. She underwent normal spontaneous vaginal delivery to a live baby boy. The patient was discharged after 48 hours confinement, and she also mentioned breastfeeding sustained for one month with her first baby. In 2022, 2 years prior to admission, she was admitted to JASGEN due to miscarriage second month into conception. Patient CD reported bleeding and is unable to recall or identify the cause of miscarriage. She did not undergo dilatation and curettage. Patient CD was not hospitalized for other reasons aside from pregnancy following this. An hour prior to admission, patient CD reported hypogastric pain, uterine contractions, and lumbosacral pain. After validation, the last menstrual period was on July 12, 2023, the EDC is March 19, 2024 and the AOG is 39 1/7 weeks. Upon internal examination, cervix is 7 cm dilated, 90% effaced with bag of water, with cephalic presentation and station of -2.

Asked by dale_hendric

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Based on the provided medical history, the main concern appears to be related to reproductive health issues, specifically focused on complications surrounding childbirth. Here are some diagnostic procedures that may be appropriate: 1. **Blood tests**: A routine blood test can track the overall health status, checking for infections, anemia, and more. 2. **Ultrasound**: To examine the size and position of the fetus, placenta, and amniotic fluid levels, which could be contributing to the patient's discomfort. 3. **Cardiotocography (CTG)**: Monitors the fetal heart rate and uterine contractions to evaluate how the baby is responding and coping to the labour process. 4. **Pelvic examination**: Can be done to assess the cervix dilation, effacement, the station and position of the fetus which could be causing the pain and discomfort. 5. **Urine test**: To check for UTIs which may trigger premature labor. 6. **Swab tests**: Can be helpful to check for the presence of group B strep infection, which can be harmful to the baby if not treated. Remember, only a healthcare professional can appropriately diagnose and prescribe treatments. Please consult with a healthcare provider for accurate information.

Answered by gpt-4

April 26, 2024, 1:15 a.m.

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This article was generated in part by one of OpenAI’s large-scale language-generation model, answering user dale_hendric's question. Images were generated with OpenAI's AI model, DALL·E 2. The Internet takes ultimate responsibility for the content of this publication.
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Published: Friday, April 26, 2024

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