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  • Physical Examination of Antepartum Hemorrhage

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    Jesse Oneill
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    This document outlines the physical examination and investigations for a patient presenting with antepartum hemorrhage. The examination includes checking vital signs, inspecting the abdomen for scarring and palpating the uterus, and performing a speculum exam and cervical check if placental previa is excluded by ultrasound. Investigations include hematology tests on the mother like a full blood count and coagulation profile, as well as fetal monitoring via cardiotocography and ultrasound to check fetal size and position and assess for placental abnormalities.

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    APH is very common. Must be recognized and dealt quickly

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    Physical Examination of antepartum hemorrhage

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    This document outlines the physical examination and investigations for a patient presenting with antepartum hemorrhage. The examination includes checking vital signs, inspecting the abdomen for scarring and palpating the uterus, and performing a speculum exam and cervical check if placental previa is excluded by ultrasound. Investigations include hematology tests on the mother like a full blood count and coagulation profile, as well as fetal monitoring via cardiotocography and ultrasound to check fetal size and position and assess for placental abnormalities.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    86 views7 pages

    Physical Examination of Antepartum Hemorrhage

    Uploaded by

    Jesse Oneill
    This document outlines the physical examination and investigations for a patient presenting with antepartum hemorrhage. The examination includes checking vital signs, inspecting the abdomen for scarring and palpating the uterus, and performing a speculum exam and cervical check if placental previa is excluded by ultrasound. Investigations include hematology tests on the mother like a full blood count and coagulation profile, as well as fetal monitoring via cardiotocography and ultrasound to check fetal size and position and assess for placental abnormalities.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 7

    Physical examination

    Antepartum hemorrhage
    General features
    Hemodynamically stability need to exclude sign of shock e.g. pallor,
    sweating, hypotension, tachycardia
    Be cautious of concealed hemorrhage shock is out of keeping from
    observed hemorrhage
    Abdomen
    Check for abdominal scars (previous LSCS scar)
    Palpation
    hard and tender uterus (placental abruption)
    Soft non tender uterus (placental previa)
    SFH smaller than age (IUGR from recurrent hemorrhage placental previa)
    Malpresentation (placenta previa displace presenting part)
    Auscultation: fetal heart absent (placental abruption)
    Pelvis
    Vaginal examination
    Speculum examination done after u/s has excluded placental previa
    Visualise the cervix and exclude cervical pathology
    Cervical dilatation (placental abruption)
    Investigation
    Hematology
    Maternal
    FBC baseline Hb
    Group and cross-match
    Coagulation profile
    Kleihauer test in rhesus negative women
    Fetal
    CTG deceleration, fetal bradycardia
    Ultrasound fetal size, presentation, amniotic fluid, placental position
    Ultrasound
    Type Type
    IV III/IV

    Type I Type
    II

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