Olivia is 23 weeks pregnant. Her pregnancy was uneventful until last week when she found a suspicious looking mole on her left shoulder. Her obstetrician sent Olivia to a dermatologist for removal of the mole. The pathology report showed malignant melanoma. Olivia will be undergoing a wide excision procedure to make sure that all of the melanoma has been removed. Further treatment will depend on how the procedure goes and if the excision produces clean margins. Olivia is seeing her OB doctor for clearance for the procedure. They are hoping to do the procedure using a local anesthesia. If the excision proves to be too extensive for a local, she will have an anesthesiology consult and they will proceed from there.
Dx: 23 weeks pregnant; malignant melanoma
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
Question 2
Patsy is 40 weeks pregnant and arrives at the hospital in labor. She is admitted to an L&D bed. Up until now, the pregnancy had been uneventful. On physical exam, the physician notes the fetus has turned since Patsy's last in-office examination. Instead of being head down, the fetus is presenting feet first. Patsy's doctor agrees to a trial of labor with the baby in this position. Patsy goes on to deliver a 7 lb. 14 oz. footling breech. Both Patsy and the baby are healthy and doing well.
Dx: Footling breech
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
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