02-17-2009, 06:56 AM
friends i was trying to practice kaplan obg ccs cases
i feel cases are short there is nothing much to do
for e.g. case 2 threatened abortion
we order obstetric ultrasound - it not only confirms diagnosis but also rules out other differential diagnosis like ectopic and h mole
get an another test of hcg titre
reassure the patient and case over
may be we have to get routine all 1 trimester test
and preg counselling
case3 ectopic
get b hcg and obstetric USG
treatment methotrexate and case over
i wanted to know do we have to get LFT and other test to look for side effects of Mtx like liver failure bone marrow suppression and renal failure
how many days after administering Mtx do we have to get this done
case5 rh-ne mother
how to order for typing of antibody to look for Kell antibody I think CCS doesn't have it
amniocentesis and then what to do
no treatment
wat to do if we get this case in exam
case 7 old age mother downs
how to order genetic couselling i think CCS doesn't have it
and only triple marker and amniocentesis to do then wat
case 8 GDM
how to order weekly prenatal office visit
weekly twice nst do we have to move the clock and order again i think so
how to counsel or educate about tight blood sugar control on CCS
case 9 IUGR
ONLY USG AND NST
case 10 antenatal bleeding
no kleihauer betke test on CCS
case 12 nonreassuring FHR
how to order change of maternal position
digital scalp stimulation
how to monitor DTR for pt on Mgso4 on CCS
i feel cases are short there is nothing much to do
for e.g. case 2 threatened abortion
we order obstetric ultrasound - it not only confirms diagnosis but also rules out other differential diagnosis like ectopic and h mole
get an another test of hcg titre
reassure the patient and case over
may be we have to get routine all 1 trimester test
and preg counselling
case3 ectopic
get b hcg and obstetric USG
treatment methotrexate and case over
i wanted to know do we have to get LFT and other test to look for side effects of Mtx like liver failure bone marrow suppression and renal failure
how many days after administering Mtx do we have to get this done
case5 rh-ne mother
how to order for typing of antibody to look for Kell antibody I think CCS doesn't have it
amniocentesis and then what to do
no treatment
wat to do if we get this case in exam
case 7 old age mother downs
how to order genetic couselling i think CCS doesn't have it
and only triple marker and amniocentesis to do then wat
case 8 GDM
how to order weekly prenatal office visit
weekly twice nst do we have to move the clock and order again i think so
how to counsel or educate about tight blood sugar control on CCS
case 9 IUGR
ONLY USG AND NST
case 10 antenatal bleeding
no kleihauer betke test on CCS
case 12 nonreassuring FHR
how to order change of maternal position
digital scalp stimulation
how to monitor DTR for pt on Mgso4 on CCS