Louise arrived at the hospital in labor. She is 39 weeks and six days into her pregnancy. She started having contractions two hours ago and on arrival at the hospital, the contractions are approximately three minutes apart. She has quickly placed in bed and examined. She is 9 centimeters dilated, and her bag of water ruptures spontaneously. She soon delivers a 6 lb. 4 oz. healthy baby girl.
Dx: Precipitate labor; 39 weeks pregnant; NSVD.
First-listed diagnosis: ________
Secondary diagnoses:
Question 2
Jamal is a 37 year old black male who admittedly has not seen a physician in years. He felt there was no need, as he is physically fit, eats right, and watches his weight. He had to take a physical for a new job and his blood pressure was exceptionally high. So high, in fact, that he was sent to the ED for immediate attention. Fortunately, they were able to get his blood pressure down to acceptable limits. It was almost miraculous that he did not have a stroke. The blood work done at the time of the physical revealed very high levels of creatinine. He also had proteinuria. He was referred to a urologist for further workup. The workup proved that Jamal has hypertensive chronic kidney diseaseStage 1. He is quite fortunate that the kidney disease was caught in the very early stages. At this point, his hypertension will be managed with ACE inhibitors. He was counseled to maintain his weight, limit his sodium intake and follow a sensible diet. He will be periodically monitored and will return to the office in three months.
Dx. Hypertensive chronic kidney disease, Stage 1
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
Pregnancy
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