1. The Department received a pregnant, 24 years with complaints of nausea, vomiting 3-5 times
a day, usually after meals, loss of appetite, and irritability. Over the past week weight loss of 1
kg. Gestation period is 6-7 weeks. General condition on admission is satisfactory. Temperature
normal topic. Skin and mucous membranes of normal color and moisture. Pulse 90 beats. in min.
Blood pressure is 120/70 mm Hg Blood and urine tests showed no pathological changes:
The diagnosis?
Answer. Early morning sickness during pregnancy.
2. Delivered to the Department by ambulance pregnant T. 21. Pregnancy 7-8 weeks.
Complaining of constant nausea, vomiting 15-16 times a day and more often, the food does not
hold. Weakness, apathy. During the 10 days weight loss of 3.5 kg. The patient's average weight,
exhausted breath odor of acetone. Low-grade temperature, icteric skin, dry. Pulse 110 beats.,
Poor filling and stress. Blood pressure 90/60 mm Hg. Art. Heart sounds are muffled. Tongue
coated with white bloom, dry. The abdomen is soft and painless. Urine output is reduced to 400
ml per day. In the blood, increased residual nitrogen, urea, bilirubin, decreased albumin,
cholesterol, potassium and chloride. In the analysis of urine protein-and cylindruria, the reaction
of acetone sharply positive.
The diagnosis?
Answer: Early abortion pregnant. Vomiting pregnant severe.
3. Received a pregnant 21 years, a period of 7 - 8 weeks. Complaints of itching all over the
body, insomnia, irritability. Laboratory data intact.
I. The diagnosis?
Answer: Dermatoses pregnant
II. Additional methods of diagnosis:
A: The U.S.
4. Received a pregnant 22 years. Term - 10 weeks. Diagnosis - early toxicosis syndrome, nausea
and vomiting. Vomiting 12 - 15 times a day, dramatic weight loss.
I. The tactics of the doctor:
Reply Abortion
II. Indications for termination of pregnancy (avoid too much):
A: Vomiting 1 - 5 times per day, hypertension.
5. At the clinic she turned 23 years with complaints of drooling. Last period of 5 weeks ago.
I. Diagnoz:
Answer: ptyalism
II. Additional methods of diagnosis:
A: Testing for HCG, ultrasound of the uterus
6. Received a pregnant woman 27 years old with signs of severe intoxication: tachycardia 110 120 bpm. in min., A / D 80/40 mm Hg, the skin and mucous membranes are dry, tongue coated.
Anamnesis: last period 6 weeks ago, neukratimaya vomiting, sudden weight loss. The diagnosis excessive vomiting during pregnancy.
I. Signs in blood:
Answer: Hypo-disproteinemia. Creatinine.
II. Differential diagnosis:
A nutritional diseases
B. Pyelonephritis
B. Myocardial infarction
G. hypotension
D. Cholecystitis
7. Pregnant 20 years for 7 - 8 weeks appeared muscle cramps of the upper extremities.
I. Diagnosis:
Answer: Tetany pregnant.
II. Treatments include:
Answer: parathyroidin, calcium, vitamin D
8. pregnant with period of 6 - 7 weeks revealed: the incidence of vomiting 7 - 8 times a day, the
body weight loss of 3 kg. 2 weeks, heart rate 90 beats. in min., A / D 100/70 mm Hg,
periodically acetonuria.
I. Diagnosis:
A: Vomiting pregnant moderate
II. Physical treatments:
A: electric, reflexology
9. Asked a woman complaining of nausea, vomiting, 5 - 6 times a day-ki, dizziness, urine output
700 - 800 ml. a day, an ultrasound pregnancy 7 - 8 weeks.
I. Your diagnosis:
Answer: Early toxicosis
II. Tactics:
A: Admission to the complex therapy