Sunday, April 24, 2016

Health in pregancy_04252016

The patient is a female gravida 2, para 1, who presented to the hospital with lower abdominal pain associated with nausea and vomiting.  After her admission to hospital, she has had 2 loose bowel movements.  No history of fever or chills.  No history of hematemesis or melena.  The patient mentioned that she was diagnosed with IBS and C. difficile colitis in the past.  Review of her colonoscopy report which was down a few years ago by Dr. Park to terminal ilium was entirely normal and the biopsy was not indicative of inflammatory bowel disease.  The patient is feeling better with IV Compazine.  Platelet count was normal white cell count was 11.9.  Liver chemistry, amylase and lipase are normal.  The patient has ketones in the urine.  MRI shows 1.4 cm x 1.4 cm right ovarian cysts. 

Status post cholecystectomy, fatty infiltration of liver, genital herpes, tonsillectomy, C. difficile colitis in the past.  

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