A 32 year old nulliparous female is at 34 weeks gestation. She complains of severe itching over palms of hands and sole of feet.
Initial investigations
BP=138/88
Urinalysis -ve for protein
Serum AST=50 (10-40) ALT=60 (7-56) … More OBS/GYN Case 4
29 year old primagravida is at 41 weeks gestation reports having spontaneous onset of labour with clear amniotic fluid draining.
On examination at 08:00, foetus is in cephalic presentation and is 2/5 palpable. Fetal station is at -2 from the ischial spine.
Cervix is 4cm dilated, 90% effacement, soft cervical consistency and cervix in the anterior position.
CTG is reactive.
4 hours later, cervix is only 5cm dilated, otherwise remains unchanged.
CTG is reassuring. … More OBS/GYN Case 3
A 30 year old Afro-Caribbean lady presents with severe acute abdominal pain. She is at 26 weeks gestation.
On examination, SFH= 31 cm. The uterine fundus is irregular and tender on palpation. The fetus is found to be in breech presentation.
CTG is reactive.
… More OBS/GYN Case 2
40 year old IVF-induced primagravida is at 32 weeks gestation. She complained of painless heavy menstrual bleeding that was birght red in colour.
Ultrasound report shows a twin pregnancy in the transverse position. A fetal heart is audible.
CTG shows a reactive pattern. … More OBS/GYN Case 1
Answer will be posted at 18:00 Tomorrow 19/05/17.
A 6-year old boy comes to hospital, short of breath and describes tightness over the precordium. Her symptoms started when she was doing physical education at school.
Upon auscultation of her lung fields, you note loud biphasic wheezing and decreased air entry.
A 48-year old female diagnosed with rheumatic heart disease comes into your clinic complaining of increased shortness of breath upon exertion as well as frequent occurrence of palpitations. … More Cardiology Series: Case 14
A 19-year old female presents with difficulty breathing on mild exertion and increased fatigue.
A 67-year old male complains of shortness of breath when we walks a flight of stairs at his home.
Upon auscultation, you can hear a diminished first heart sound followed by an ‘ejection click’. The second heart sound is normal but during early diastole, a crescendo-decrescendo murmur is heard. … More Cardiology Series: Case 12
A 72 year old female with increasing shortness of breath upon exertion over the last year. At night, she often wakes up gasping for air. In hospital, she was diagnosed with hypertrophic obstructive cardiomyopathy (HOCM) … More Cardiology Series: Case 11
Paul Chronicles 