Tina Sandler – PART 3 – OBGYN/OBGYN Tina Sandler - Part3

Tina Sandler – PART 3 – OBGYN OBGYN Tina Sandler - Part3 Tina Sandler – PART 3 – OBGYN CC – high blood pressure Diagnosis –preeclampsia 4asc/1hpi HTN, heartburn, headaches(stress?), hand/feet swelling, fetus alive Tests- UA, CBC, CMP, Creatinine 24hr Problem Statement: ( Demographic description – chief complaint – Hx and PE key findings – risk factors ) Tina Sandler is a 29-year-old female G5P2111 here at 33 weeks (third trimester) for evaluation of High blood pressure (146/90), having missed visits after being seen at 24 weeks gestation. Increased frequency of headaches, as well as heartburn. BP is 146/90 increased from last visit, fundal height appropriate for gestation, FHT=not detected, however fetal movements detected on PE, No bruising noted. Edema is present: +1 pedal edema and +1 ankle edema with edema in hands as well