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preeclampsia with obesity [autosaved]

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Mrs. Rumi is a 26-year-old pregnant woman admitted at 36 weeks gestation with leg swelling for 2 weeks and high blood pressure. She has obesity with a BMI of 40.3. On examination, she has mild anemia, moderate leg swelling, and a blood pressure of 170/100 mmHg. Her fetus is in the vertex position but not engaged. Tests show severe preeclampsia. She is diagnosed with severe preeclampsia in her second pregnancy, complicated by obesity.

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CASE PRESENTATION ON PREECLAMPSIA WITH OBESITY Dr.Mohammed Sanwar Hussain Intern Doctor Gynae Unit_3 SOMCH
Patient¨s profile Name:Mrs.Rumi Address : ShamerKuna,Moulovibazar Birthday:September1992 Age:26years old Birthplace:shamer kuna,moulovibazar Height:5f2inch weight:100kg BMI: 40.3kg/m2(Obese Class III) Religion:Islam Occupation:Housewife Husband Name:Md.sufian DateofAdmission:January 18th , 2019 TimeofAdmission:5:30pm
Chief Complaints with Duration: ? Amenorrhoea for 36 weeks ? Swelling of the legs for 15 days History of present illness : According to statement she is amenorrhoeic for about 36 weeks .15 days prior to her admission she noticed swellings of lower limbs History of past illness: Nothing contributory Family History : Her mother has anxiety disorder Drug History: None except for taking paracetamol for fever on her 6 months of pregnancy
Socio economic History : Lower Middle class Obstetric History Married for 3 years 2nd gravida with previous stillbirth Menstrual history Menarche at the age of 14 years MP 3-4 days MC 28-30 days LMP Unknown E.D.D Unknown contraceptive history: She was on oral contraceptive pill for 1 year following marriage and discontinued for few months prior to conception.
Physical examination general examination ? Appearance-healthy looking ? Body build:Obese ? Height:5 feet ? Aneamia:Mildly aneamic ? Jaundice:Nil ? Edema:Moderate ? Pulse:80bpm ? Bp:170/100mmhg ? Heart: nothing abnormality detected ? Lungs:clear
?Abdominal examination Inspection: Abdomen is enlarged ,the uterus is elliptical in shape.striae gravidarum was present.the umbilicus was central and flat Palpation: ? Height of the uterus is of 36 weeks size,which corresponds to the period of amenorrhoea ? Fundal grip-broad,irregular,soft breech is felt ? Lateral grip-the back is felt on the left side andirregular limbs on the right side ? First pelvic grip:smooth,hard,smaller,ballotable head felt in the lower uterine segment,the head is not engaged ? Second pelvic grip:the head is not engaged
Auscultation: Foetal movement was absent,Foetal heart sound was inaudible by both stethoscope and portable doppler Per vaginal examination: The patient was not in labor Salient feature: Mrs Rumi,26 years old,2nd gravida has been admitted at her 36 weeks of gestation with the complaints of leg swellings for week and raised blood pressure for 3 days.she is also not getting any fetal movement for last few hours. Her urine output is normal and she has no complaints about headache,visual disturbance or epigastric pain.on general examination she is mildly aneamic,ankle edema is moderate and blood pressure is 170/100 mmHg.On abdominal examination,height of the uterus is of 36 weeks size which corresponds to the period of amenorrohea .presentation is vertex,head is not engaged,liquor volume is adequate.Blood group is B positive
INVESTIGATIONS: HB% ESTIMATION BLOOD GROUPING AND RH TYPING VDRL USG OF PREGNANCY PROFILE
preeclampsia with obesity [autosaved]
Diagnosis: 2nd gravida with 36weeks of pregnancy with severe preeclampsia with obesity
preeclampsia with obesity [autosaved]

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preeclampsia with obesity [autosaved]

  • 1. CASE PRESENTATION ON PREECLAMPSIA WITH OBESITY Dr.Mohammed Sanwar Hussain Intern Doctor Gynae Unit_3 SOMCH
  • 2. Patient¨s profile Name:Mrs.Rumi Address : ShamerKuna,Moulovibazar Birthday:September1992 Age:26years old Birthplace:shamer kuna,moulovibazar Height:5f2inch weight:100kg BMI: 40.3kg/m2(Obese Class III) Religion:Islam Occupation:Housewife Husband Name:Md.sufian DateofAdmission:January 18th , 2019 TimeofAdmission:5:30pm
  • 3. Chief Complaints with Duration: ? Amenorrhoea for 36 weeks ? Swelling of the legs for 15 days History of present illness : According to statement she is amenorrhoeic for about 36 weeks .15 days prior to her admission she noticed swellings of lower limbs History of past illness: Nothing contributory Family History : Her mother has anxiety disorder Drug History: None except for taking paracetamol for fever on her 6 months of pregnancy
  • 4. Socio economic History : Lower Middle class Obstetric History Married for 3 years 2nd gravida with previous stillbirth Menstrual history Menarche at the age of 14 years MP 3-4 days MC 28-30 days LMP Unknown E.D.D Unknown contraceptive history: She was on oral contraceptive pill for 1 year following marriage and discontinued for few months prior to conception.
  • 5. Physical examination general examination ? Appearance-healthy looking ? Body build:Obese ? Height:5 feet ? Aneamia:Mildly aneamic ? Jaundice:Nil ? Edema:Moderate ? Pulse:80bpm ? Bp:170/100mmhg ? Heart: nothing abnormality detected ? Lungs:clear
  • 6. ?Abdominal examination Inspection: Abdomen is enlarged ,the uterus is elliptical in shape.striae gravidarum was present.the umbilicus was central and flat Palpation: ? Height of the uterus is of 36 weeks size,which corresponds to the period of amenorrhoea ? Fundal grip-broad,irregular,soft breech is felt ? Lateral grip-the back is felt on the left side andirregular limbs on the right side ? First pelvic grip:smooth,hard,smaller,ballotable head felt in the lower uterine segment,the head is not engaged ? Second pelvic grip:the head is not engaged
  • 7. Auscultation: Foetal movement was absent,Foetal heart sound was inaudible by both stethoscope and portable doppler Per vaginal examination: The patient was not in labor Salient feature: Mrs Rumi,26 years old,2nd gravida has been admitted at her 36 weeks of gestation with the complaints of leg swellings for week and raised blood pressure for 3 days.she is also not getting any fetal movement for last few hours. Her urine output is normal and she has no complaints about headache,visual disturbance or epigastric pain.on general examination she is mildly aneamic,ankle edema is moderate and blood pressure is 170/100 mmHg.On abdominal examination,height of the uterus is of 36 weeks size which corresponds to the period of amenorrohea .presentation is vertex,head is not engaged,liquor volume is adequate.Blood group is B positive
  • 8. INVESTIGATIONS: HB% ESTIMATION BLOOD GROUPING AND RH TYPING VDRL USG OF PREGNANCY PROFILE
  • 10. Diagnosis: 2nd gravida with 36weeks of pregnancy with severe preeclampsia with obesity