Mrs. Smith is a 35 yo G6P4025 who is PPD#1/POD#0 s/p VAVD + LTCS with IVF di/di twins. Prior pregnancies were all NSVD with no complications, prior course was uncomplicated except for well-controlled GDM and GBS+. She presented Wednesday noon at 35 2/7 WGA with PROM, both twins were vertex per US. Abx ppx was started yesterday morning. Twin A was delivered yesterday night at 10 via VAVD, and twin B via STAT LTCS at 2 this morning 2/2 CPD/AOD and NR-FHT, complicated by PPH. Oxytocin was given and lochia is since minimal, afebrile + HR/RR/BP WNL, PP H/H = 8/24 w no Ssx and UO 500 ml/4hr via FC. Fundus U -1 finger-breath and firm.
結構複雑な患者でも、これで大体、様子がわかるというやつ。それをすらすら読めるのが、おそろしい。
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