Women's health · History + examination

Headache and swelling at 34 weeks

Hard

15 min station · 2 min reading · Recommended for Curtin Year 5 students

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M T D S

2 min reading · 15 min station · reminders at 2 min

Instructions

You are a medical student on placement in general practice. Your next patient is Ayen Mading, 29, who is 34 weeks pregnant, presenting with headache and swelling of her face and hands.

  1. Take a focused history

  2. Examine the patient

  3. Outline to the examiner:

    • Your findings
    • Your most likely diagnosis and differentials
    • Next steps in management, including relevant investigations

Nurse today

BP 158/102; weight 84 kg (80 kg three weeks ago)

Antenatal record

First pregnancy, 34+2 weeks by dating scan; BP 118/74 at 28 weeks; morphology scan normal; blood group A positive

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Investigations

Examination

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