solved

Question
Answered step-by-step
Asked by Imoh123

1. A 22-year-old woman is in the postoperative period on the 3rd day after a

caesarean section due to a clinical narrow pelvis. Complaints of moderate dull pain in the lower

abdomen during the last day, which soon after the appearance spread throughout

the abdomen, more on the right and intensified. 

Disturbed by nausea and lack of appetite. The duration of labor was 14 hours, the

anhydrous period was 16 hours. On the

first day after the operation, the temperature is subfebrile, on the second day

– 38-39 C. Objectively: a state of moderate severity, pulse 97 beats. in min., BP 110/75 mm. rt. 

Art. The abdomen is moderately

swollen, painful on palpation in all departments. The bottom of the uterus is 2 cm below the

navel The dressing is clean, there is

no discharge from the p / o wound. 

Shchetkin’s symptom is positive in the hypogastric region. There was no feces after the operation, gases

do not leave. Urination is not

disturbed, diuresis is reduced. X-ray

examination and ultrasound – the intestines are stretched, Kloiber bowls,

peristalsis is sluggish. In the blood

test – leukocytosis, erythrocyte sedimentation rate – 44 mm per hour.

A) Solve the Clinical case 

 

2. A 28-year-old pregnant woman complains of pain

in the lower abdomen more on the right, nausea, single vomiting. Pregnancy 24 weeks. Sick for 5-6 hours. Pain appeared in the epigastric region, then

shifted to the right half of the abdomen. 

Body temperature 37.5 C.

 The general condition is satisfactory. Skin of normal color. Pulse 94 beats per minute, BP 110/70 mm

Hg. Art. 

Tongue dry, coated with white. 

The abdomen is not swollen, soft, painful on palpation in the right

iliac region. Symptoms of peritoneal

irritation are weakly positive on the right. 

The uterus is in normal tone, enlarged up to 24 weeks of pregnancy.

 In the general blood test: hemoglobin – 115

g/l, leukocytes – 10 g/l, p – 13%, c – 65%, ESR 35 mm/h.

  A) Solve the clinical cases

 

3. Patient I., 27 years old, was admitted to the gynecological department with complaints

of the absence of menstruation for 7 months, monthly pain in the lower abdomen

on approximately the same dates.

 He considers himself ill after a medical

abortion at 8 weeks’ gestation. The

postoperative period was complicated by the development of hematometra, in

connection with which repeated curettage of the uterus was performed. A month after repeated curettage, severe pain

in the lower abdomen was noted, there was no bloody discharge from the genital

tract. Subsequently, monthly pains in

the lower abdomen were noted in the first days of the month, but there was no

menstruation.

 Three months ago I went to the antenatal

clinic. When viewed in the mirrors: the

mucous membrane of the cervix is ​​​​clean, pink, the external pharynx is

slit-like, the symptom of the “pupil” is positive (+++),

the symptom often on of the cervical mucusis 8 cm.. Ovaries

and fallopian tubes on both sides are not palpable, their area is

painless.

 The results of additional research methods:

basal temperature – biphasic, with an increase above 37 C approximately 2 weeks

before the onset of pain; colpocytology

– a smear of a proliferative type, ultrasound – intrauterine synechia; the content of hormones in the blood plasma

is normal.

A) Solve the clinical case

SCIENCE
HEALTH SCIENCE
NURSING
NURSING NUR2571

 

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."