medical notes

Apr 17th, 2015
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FEVER DURING PREGNANCY AND LABOURPROBLEMA woman has a fever (temperature 38C or more) during pregnancy or labour.GENERAL MANAGEMENTEncourage bed rest.Encourage increased fluid intake by mouth.Use a fan or tepid sponge to help decrease temperature.DIAGNOSISTABLE S-13 Presenting Symptom and Other Symptoms and Signs Typically PresentSymptoms and Signs Sometimes PresentProbable Diagnosis DysuriaIncreased frequency and urgency of urinationRetropubic/suprapubic painAbdominal painCystitis, page S-101DysuriaSpiking fever/chillsIncreased frequency and urgency of urinationAbdominal painRetropubic/suprapubic painLoin pain/tendernessTenderness in rib cageAnorexiaNausea/vomitingAcute pyelonephritis, page S-102Foul-smelling vaginal discharge in first 22 weeksFeverTender uterusLower abdominal painRebound tendernessProlonged bleeding Purulent cervical dischargeSeptic abortion, Table S-2, page S-9Fever/chills Foul-smelling watery discharge after 22 weeksAbdominal painHistory of loss of fluidTender uterusRapid fetal heart rateLight vaginal bleedingAmnionitis, page S-139FeverDifficulty in breathingCough with expectorationChest painConsolidationCongested throatRapid bre

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