OBSTETRICS POSTING
CASE WRITE-UP
PREGNANCY INDUCE HYPERTENSION
Name: Muhammad Azraie B. Mat Ali
Matrix Number: 1090265
Patient Identification
Name : Nur Asilah Bt. Johari
Age : 23 year old
Race : Malay
Sex : Female
Address : Taman Raja Abdullah
Occupation : Student
D.O.A. : 13 March 2013
I/C : 900208035442
LMP : 27 June 2012 - sure of date - not on breast feeding - not on contraceptive - regular menses
POA : 37/52
EDD : 4 April 2013
Chief Complaint(s)
This is a referred case from Klinik Kesihatan Jalan Raja Abdullah for high blood pressure during regular ante-natal check-up for 1 day duration.
History Of Presenting Illness
Patient was apparently well until 1 day ago when she was diagnosed to have high blood pressure during her regular antenatal check-up at Klinik Kesihatan Jalan Raja Abdullah. She was normotensive throughout the antenatal check-up before until yesterday when the doctor noticed that her blood pressure was high which was 170/100 mmHg for three time consecutively. She denied of having an essential hypertension before and no positive family history of hypertension.
On further questioning, she had headache, otherwise she not had any sign and symtoms of impending eclampsia such as blurring of vision, vomiting, epigastric pain and syncope prior to the admission. She claimed the first episode of headache was during last antenatal check up where she was diagnosed to have high blood pressure.
History Of Presenting Pregnancy
Pregnancy was suspected when she missed her menses for 4/52. It was confirmed by doing urine pregnancy test (UPT) at private clinic. At that time, no early ultrasound was done. She claimed that she experienced symptoms of early pregnancy such as nausea, vomiting and headache that last until 20/52 POA.
Booking was done during 13/52 POA at Klinik Kesihatan Jalan Raja Abdullah. At that time, blood and