Investment Banking Assignment

Jun 21st, 2015
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The Enron scandal, revealed in October 2001, eventually led to the bankruptcy of the Enron Corporation, an American energy company based in Houston, Texas, and the dissolution of Arthur Andersen

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OBSTETRIC AND GYNEACOLOGYYear 5, MBBS 08/09CASE WRITE-UPMACROSOMIAName: Mohamad Aizuddin bin AhmadMatric No.: 0808-0811Group/ Rotation: 01/5Supervisor: Assoc. Prof. Dr. Mohd Haizal Mohd NorPATIENTS HISTORYHistoryMadam NH, 34 year old malay lady from Putrajaya G4P3 at 38 period of gestation was admitted yesterday for elective lower segment caeserian section secondary to macrosomic baby. Her LNMP was 3/4/12 and her EDD is 10/1/13. Patient detect the pregnancy when she missed period for 2 months. Then she confirmed the pregnancy in private clinic by urine pregnancy test. Booking was done at 12 week of pregnancy in KK Putrajaya. During booking fasting blood glucose is 5.6, BP 92/72, weight is 123kg, height 140cm, HB 12.5, blood test for infectious disease was non reactive, and maternal blood group is O+. 3 scans was done throughout the pregnancy, 1st scan at 16 weeks which reveal normal size fetus and normal amount of liquor, but during 2nd scan which at 28 weeks, fetus was detected to be larger than dates and the latest scan which at 36 weeks of pregnancy show a big fetus estimated weight of 4.4kg. Throughout the pregnancy maternal blood was well controlled which 1 set of blood sugar profile was done at 28 week and the result was normal which the reading is 6, 4.7, 4.3, 4. Throughout the pregnancy maternal weight gain is 13kg besides of maternal is obese with BMI of 35.Previous pregnancy patient was blessed with 3 children which all of them ar

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