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Акушерство и геникология - Бекманн Ч.Р.

Бекманн Ч.Р. Акушерство и геникология — М.: Мед.лит., 2004. — 548 c.
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The American College of Obstetricians and Gynecologists, 409 12th Street,Sw, Washington, DC 20024-2188
Рисунок 5.1 А. Стандартизированная форма дородового наблюдения. 1 лист, 1 страница.
50
GENETICS SCREENENG
INCLUDES PATIENTS, BABY’S FATHER, OR ANYONE IN EITHER FAMILY WITH:
YES NO YES NO
1. PATIENT’S AGE > 35 YEARS? 10. HUNTINGTON CHOREA?
2. ITALIAN, GREEK. MEDITERRANEAN, OR 11. MENTAL RETARDATION?
ORIENTAL BACKGROUND (MCV< 80)?
3.NEURALTUBE DEFECT IFYES, WAS PERSON TESTED FOR FRAGILE X?
(MENINGOMYELOCELE, OPEN SPINE, OR ANENCEPHALY)?
4. DOWN SYNDROME (MONGOLISM)? 12. OTHER INGERITED GENETIC OR CHROMOSOMAL DISORDER?
5. JEWISH (TAYSACH’S)? 13. PATIENTS OR BABY’S FATHER HAD A CHILD WITH
BIRTH DEFECT NOT LISTED ABOVE.
6. SICKLE CELL DISEASE OR TRAIT? > 3 FIRST TREMESTER SPONTANEOUS ABORTIONS,
OR A STILLBIRTH?
7. HEMOPHILIA? 14. MEDICATIONS OR STREET DRUGS
SINCE LAST MENSTRUAL PERIOD?
8. MUSCULAR DYSTROPHY? IFYES, AGENT(S)
9. CYSTIC FIBROSIS?
COMMENTS
PRESENT PREGNFNCY
ONeg DETAIL POSITIVE REMARKS 5. HEADACHE
+ Pos. INCLUDE DATE &7YPERX.
1. VAGINAL BLEEDING 6. ABDOMINAL PAIN
2. VAGINAL DISCHARGE/ODOR 7. URINARY COM PLAI NTS
3. VOMITING 8. FEBRILLE EPISODE
4. CONSTIPATION 9. OTHER
COMMENTS
INTERVIEWER’S SIGNATURE
INITIAL PHYSICAL EXAMINATION
DATE / / PRE-PREGNANCYWBGHT HEIGHT BP_
1.HEENT ? NORMAL ? ABNORMAL 12. RECTUM ? NORMAL ? ABNORMAL
2. FUNDI ? NORMAL ? ABNORMAL 13. VULVA ? NORMAL ? CONDILOMA ? LESIONS
3. TEETH ? NORMAL ? ABNORMAL 14. VAGINA ? NORMAL ? INFLAMMATION ? DISCHARGE
4. THYROID ? NORMAL ? ABNORMAL 15. CERVIX ? NORMAL ? NFLAMMATION ? LESIONS
5. BREASTS ? NORMAL ? ABNORMAL 16. UTERUS ? NORMAL ? ABNORMAL ? FIBROIDS_WEEKS
6. LUNGS ? NORMAL ? ABNORMAL 17. ADNEXA ? NORMAL ? MASS
7. HEART ? NORMAL ? ABNORMAL 18. DIAGONAL CONJUGATE ? REACHED ? NO _CM
8. ABDOMEN ? NORMAL ? ABNORMAL 19. SPINES ' ? NORMAL ? PROMINENT ? BLUNT
9. EXTREMITIES ? NORMAL ? ABNORMAL 20. SACRUM ? NORMAL ? STRIGHT ? ANTERIOR
10. SKIN ? NORMAL ? ABNORMAL 21. ARCH ? NORMAL ? WIDE ? NARROW
11. LYMPH NODES ? NORMAL ? ABNORMAL 22. PELVIC TYPE GINECOID ? YES ? NO
COMMENTS (Number of explain abnormats)
EXAM BY:
Рисунок 5.1 В. Стандартизированная форма дородового наблюдения. 1 лист, 2 страница.
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Patient Addressograph
ACOG ANTEPARTUM RECORD
DATE__________________
NAME_________________________________
LAST FIRST MIDDLE
ID#
PROBLEMS/PLANS (DRUG ALLERGY: ) MEDICATION LIST: Start date Stop date
1. 1.
2. 2.
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