- Joined
- Jul 16, 2003
- Messages
- 6,030
- Reaction score
- 3,811
32 y/o female G3P2 at 34 weeks. Presents with RLQ abd. pain which radiates to her back under her scapula. Started yesterday around 1:00pm. Progressively worse. Now shes guarding. Tocodynamometer = not in active labor.
Other Pmhx:
Admitted 2 weeks ago for urethral abscess 3x5cm. To OR for I&D. Done under spinal. Easy spinal and smooth case.
1ppd smoker, still smoking.
On methadone.
VS:
ST at 135 bpm
172/88
98%
RR = 18
54 275 lbs.
FHR 165
Afebrile
Hgb 11, plateles 390, WBC 16K
Pretend you are OB and Anesthesia all in one. How are you going to work this up/what are you going to ask for?
What is your plan peri-operatively and what are your concerns?
Med students and residents get first shot. This is actually a pretty straight forward case and not a zebra.... but I think this case has a couple of issues that are good to keep in mind when dealing with non-obstetric surgery in the pregnant patient.
Other Pmhx:
Admitted 2 weeks ago for urethral abscess 3x5cm. To OR for I&D. Done under spinal. Easy spinal and smooth case.
1ppd smoker, still smoking.
On methadone.
VS:
ST at 135 bpm
172/88
98%
RR = 18
54 275 lbs.
FHR 165
Afebrile
Hgb 11, plateles 390, WBC 16K
Pretend you are OB and Anesthesia all in one. How are you going to work this up/what are you going to ask for?
What is your plan peri-operatively and what are your concerns?
Med students and residents get first shot. This is actually a pretty straight forward case and not a zebra.... but I think this case has a couple of issues that are good to keep in mind when dealing with non-obstetric surgery in the pregnant patient.