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Osler Round 2 - 25/F at 32 weeks of gestation with severe headache: Case Walkthrough
Obstetrics & Gynaecology·Introductory·25y Female
25yr/ Female· Nalwanga, a 25-year-old female from the Mukono, presents to the hospital at 32 weeks gestation with a complaint of sudden onset severe headache and blurred vision. She reports that the headache started 2 hours prior to arrival and has been worsening. She also mentions experiencing some epigastric pain and mild vaginal bleeding over the past 24 hours. Nalwanga has a history of one previous pregnancy that resulted in a miscarriage at 10 weeks gestation.presenting with sudden onset severe headache and blurred vision
History of Present Illness
Nalwanga, a 25-year-old female from the Mukono, presents to the hospital at 32 weeks gestation with a complaint of sudden onset severe headache and blurred vision. She reports that the headache started 2 hours prior to arrival and has been worsening. She also mentions experiencing some epigastric pain and mild vaginal bleeding over the past 24 hours. Nalwanga has a history of one previous pregnancy that resulted in a miscarriage at 10 weeks gestation.
Past Medical History
hypertension, which was diagnosed during her current pregnancy.
Medications
nifedipine 10mg twice daily for blood pressure control
Review of Systems
Positive symptoms in the stem include severe headache, visual disturbance, epigastric pain, and vaginal bleeding where documented.