A CASE STUDY laporan

Jun 18th, 2015
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Mrs . Partina, a 30-years-old P0 A0 visited the Maternal and Neonatal Health Clinic (MNHC) in the Primary Care Health Center where you were the assistant of the doctor in charge. She said that she had missed 3 periods, which normally comes on date 10th of the month. The first day of her last menstrual period was on 10 August 2007 last. She has also been suffering from nausea and vomiting. The latter had become worse that she vomitted almost everything she ate. She complained of painless frequent-voiding, fatigue, breast discomfort and increased skin pigmentation especially on her face, nipple, and abdominal skin. She was worried about losing weight 3 kg since her last period.

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Tutorial 1 Step 1Mrs . Partina, a 30-years-old P0 A0 visited the Maternal and Neonatal Health Clinic (MNHC) in the Primary Care Health Center where you were the assistant of the doctor in charge. She said that she had missed 3 periods, which normally comes on date 10th of the month. The first day of her last menstrual period was on 10 August 2007 last. She has also been suffering from nausea and vomiting. The latter had become worse that she vomitted almost everything she ate. She complained of painless frequent-voiding, fatigue, breast discomfort and increased skin pigmentation especially on her face, nipple, and abdominal skin. She was worried about losing weight 3 kg since her last period.The doctor has perform physical examination to Mrs. Partina, and the finding were as follows:Physical examination:Height : 160 cm tall Weight : 50 kgVital signs : within normal limitSkin turgor : normalHeart and lungs are normal.Obstetricexamination:External examination : fundal height 2 fingers above symphysisSpeculum examination : bluish portio, normal sizeVaginal examination : Vulva : normal Vagina : normalPortio :soft, ostium is closedUterine corpus : enlarged, equals to 12 weeks pregnancy Douglas pouch : normalParametrium : normalLaboratory result:Laboratory result:Hb : 11,5 mg%,Hematocrit : 35 %Platelet : 250.000/ccLiver function test : normalKidney function test : normalUrinalysis : within normal limitUrine hCG test : positi

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