A nurse updates you on a 32-year-old woman who is 38 weeks pregnant. The patient’s blood pressure reading is 155/90 mmHg, up from 152/85 mmHg two days ago. A 24-hour urine collection shows a urinary protein excretion of 0.7g / 24 hours. The patient was previously healthy before pregnancy. Following oral labetalol administration, what is the next step in managing this situation?
A 28-year-old female patient contacts her GP seeking guidance on folic acid supplements. She and her partner are attempting to conceive, and she has never been pregnant before. She is in good health overall, with a history of asthma that she manages with a salbutamol inhaler as needed. Her BMI is 31 kg/m2, and she has no notable family medical history. What recommendations should she receive?
You are concerned that your patient may be experiencing premature menopause due to her irregular menstrual cycle and hot flashes. Which of the following situations would provide evidence for this diagnosis?
A 32-year-old woman comes in for a check-up. She has been experiencing fatigue and has not had a regular period for the past 5 months. She previously had a consistent 28-day cycle. A pregnancy test is negative, her pelvic exam is normal, and routine blood work is ordered:
– Complete blood count: Normal
– Blood urea nitrogen and electrolytes: Normal
– Thyroid function test: Normal
– Follicle-stimulating hormone: 40 iu/l ( < 35 iu/l)
– Luteinizing hormone: 30 mIU/l (< 20 mIU/l)
– Oestradiol: 75 pmol/l ( > 100 pmol/l)
What is the most likely diagnosis?
A 35-year-old woman visits her doctor with complaints of dyspareunia, irregular menstrual cycles for the past 8 months, and missing 3 periods recently. She also reports experiencing sudden hot flashes for the last 4 months. The patient has a history of breast cancer and underwent chemotherapy and radiation. On examination, no abnormalities are found, and her pregnancy test is negative. What is the probable diagnosis?
A woman who is 32 weeks pregnant is discovered to have an amniotic fluid volume of 440 ml. What is not included in the list of possible diagnoses?
A nurse updates you on a 29-year-old woman who is 24 weeks pregnant. The nurse reports that her blood pressure reading is 155/90 mmHg, which has increased from her previous reading of 152/85 mmHg taken 2 days ago. The woman had no health issues before her pregnancy. What is the initial course of action in this scenario?
Which one of the following statements regarding the typical menstrual cycle is inaccurate?
A 30-year-old female patient visits the GP clinic complaining of excessive pain during her menstrual cycle for the past 6 months. She experiences pain 1-2 days before the onset of menstruation, which lasts throughout the cycle. Additionally, she reports pain during sexual intercourse, particularly during deep penetration. Her last menstrual period occurred 2 days ago. She has been in a monogamous relationship with her partner for 8 years, and she has never been pregnant. She does not use any form of contraception except for condoms. What is the most appropriate course of action?
A 28-year-old woman at 32 weeks gestation arrives at the Emergency Department with a small amount of painless vaginal bleeding that occurred spontaneously. During obstetric examination, a cephalic presentation with a high presenting part is observed. The uterus is nontender, and the cervical os is closed with a normal cervix appearance. What is the most probable diagnosis?