MEETING
CHAIRPERSON: Dr.
PRESENTERS: Dr. walter
DATE: 11th January 2012
2/24/16
INTRODUCTION
NAME: S.A
AGE: 41yrs.
RESIDENCE: Mtongani.
OCCUPATION: HW
DOA; 26.11.2011. at 2047hrs
DOD; 27.11.2011. at 1850hrs
Days of stay at Temeke hospital 1 day.
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PA:
FH36/40
Fetalsizemedium
Lielongitudinal
PresentationCephalic
FHR+ve
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PVE:
Cx:dilatationTOF,
LEVEL3/5,
SVDexpected
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ANTENATAL HX.
Booked at 12 weeks,
Attended 3 times.
She was normotensive in 2x
Urinalysis not done,
Hb level 10g/dl 1x
PMTCT ONE
VDRL NR
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OE
Look sick,oriented
Not pale, Oral thrush,
Dyspnoeic
Afebrile
Had a BP 70/50 mmHg PR 115bpm
RS BBS, RR not done
PA distended,FH 24/40,lie Long,ceph
presentation, FHR 140 bpm
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Plan:
Urgent
RBG
BS for mps,
Hb level,
Nacl 2L,
tabs
co-trimoxazole 960mg tds 1/52
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Dx: Hypoglycaemia,
PCP R/o PTB,
Malaria in pregnancy,
IUGR,
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Oral
candidiasis,
Plan:
10%
dextrose 1L,
tabs
quinine 600mg tds 6/7,
xpen 5IU 6hrly x24,
miconazole
oral gel 8hrly 5/7,
Haematinics,
BS FOR MPS,
RBG,
Septrin 1920mg tds,
sputum for AFB,
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Dx -PCP
-severe anaemia in pregnancy
-Malaria in pregnancy
-Hypoglycaemia
-Hypotension
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CAUSE OF DEATH
CARDIORESPIRATORY ARREST
SECONDARY TO AIDS
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Summary
I have been presenting a maternal death
of S.A 41yrs old G5P4+0 L4 who
admitted on 26,11,2011 at TMK hospital
with labor like pain and died a day after
admission with HIV/AIDS related in
pregnancy
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Preventable Death?
Yes
At family level
During ANC
At Temeke
At Muhimbili??
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At Temeke Hospital
The admitting nurse was not keen
enough to realize the pt condition
and seek second opinion.
Dr did not seek advice from experts.
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Thanx
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Preventable Death?
Yes
During ANC
At Temeke
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