Anaemia in pregnancy by https://padlet.com/miemiechowin/kun44gimpcdt en-us 2019-03-18 10:53:34 UTC 2019-10-04 01:27:42 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Babyhead.png https://padlet.com/miemiechowin/kun44gimpcdt/wish/393348319 1)full blood count
-hb(assses the level of hb)
-red cell indices (mcv, mch, mchc) (to assess the type of anemia) 
-peripheral blood film(size and shape of rbc) 
-serum reticulocyte 
2) serum iron level
-serum transferrin
-total iron binding capacity 
-serum ferritin 
3)hb electrophoresis (to rule out thalassemia)
4)red cell folate (to rule out folate deficiency) 

]]> 2019-10-04 00:59:29 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393348319 https://padlet.com/miemiechowin/kun44gimpcdt/wish/393348394 Diet history: vegatarian
Interval between each pregnancy
Complications of previous pregnancy
Family hx of bleeding disorder: thalassemia, 
Malabsorption disease such as IBD
Surgical hx such as gastrectomy
Underlying anemia
Past medical hx: Malaria
Hx of blood loss: trauma, bleeding tendency, menorrhagia
Social hx: alcohol, low socioeconomic]]> 2019-10-04 00:59:51 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393348394 https://padlet.com/miemiechowin/kun44gimpcdt/wish/393348610
  • Maternal :
    Preterm labour,  high risk for infection, anemic heart failure, inability to withstand hemorrhage, antepartum hemorrhage, pre-eclampsia, abruptio placenta
  • Fetal :
    IUGR, hypoxia, prematurity, reduced fetal movement, high risk for intrauterine death, low birth weight
    • ]]>     2019-10-04 01:00:31 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393348610     Systemic examination https://padlet.com/miemiechowin/kun44gimpcdt/wish/393349723
    For CVS examination, look for :
    1) Any murmur 
    2) Heart sound
    3) Increased JVP

    For abdominal examination, look for :
    1) Palpation : Hepatosplenomegaly
                           : Size of uterus
                           : Any tenderness

    ]]>     2019-10-04 01:06:18 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393349723     Head to toe examination https://padlet.com/miemiechowin/kun44gimpcdt/wish/393350295 Look for :

    Hand: pallor, cold extremities, peripheral cyanosis, koilonychia

    Face: subconjunctival pallor, scleral jaundice,  central cyanosis, angular stomatotis,  glossitis

    Leg : signs for pitting edema]]>     2019-10-04 01:08:59 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393350295     Vital signs https://padlet.com/miemiechowin/kun44gimpcdt/wish/393350391 Look for :

    1) tachycardia 
    2) tachypnoea
    3) hypotension
    4) capillary refill time more than 2 seconds
    5) decreased spo2
    6) decreased temperature]]>     2019-10-04 01:09:27 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393350391     General Examination https://padlet.com/miemiechowin/kun44gimpcdt/wish/393351511 Look for : 

    Pallor,  lethargy, irritability,  SOB and peripheral cyanosis  ]]>     2019-10-04 01:14:26 UTC https://padlet.com/miemiechowin/kun44gimpcdt/wish/393351511