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Martenal Mortality 11.Jan 2012

Feb 23, 2018

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    ATERNAL ORTALITY

    EETING

    CHAIRPERSON: Dr.

    PRESENTERS: Dr. walter

    DATE: 11tha!"ar# 2$12

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    INTROD%CTION

    NAME: S.A

    AGE: 41#r&.

    RESIDENCE: Mt'!(a!).OCC%PATION: H*

    DOA+ 26.11.2$11. at 2$4,hr&

    DOD+ 2,.11.2$11. at 1-$hr&Days of stay at Temeke hospital 1 day.

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    GRAIDITY: Gr0 P4$0 L40 LC13#r&

    LMP+ 2$.4.2$11

    EDD: 2,.1.2$12GA: 2- wee&

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    HISTORY a!5 e6a7.2# A57t

    !"r&e

    A57)tte5 )! w5 1 at 2$4,hr&.

    D"e t' la8'"r 9a)!

    OE+

    Ge!eral '!5)t)'! (''5

    Te79. ;6.C

    P 11$/6$ 77H(

    N' 9r'te)!"r)a

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    PA:

    FH 36/40

    Fetal size medium

    Lie longitudinal

    Presentation Cephalic

    FHR +ve

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    PVE :

    Cx: dilatation TOF,

    LEVEL 3/5,

    SVD expected

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    ANTENATAL H

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    l''5 (r'"9 !'t 5'!e

    He7at)!)& !'t ()=e!

    SP !'t ()=e!Me8e!5a>'le !'t ()=e!

    TT !'t &h'w!

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    O! 2,thN'=e78er at 112$hr& 9t wa&&ee! 8# Dr a!5 the ?'ll'w)!( wa&!'te5:

    A7)!'rrh'ea -/12

    @e=er ;/,

    C'"(h)!(

    G)=e! )7 ")!)!e at 5)&9e!&ar#

    PMTCT '!e '! AR 7e5)at)'!

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    OEL'' &)0'r)e!te5N't 9ale0 Oral thr"&h0

    D#&9!'e)A?e8r)leHa5 a P ,$/$ 77H( PR 11897

    RS S0 RR !'t 5'!e

    PA 5)&te!5e50@H 24/4$0l)e L'!(0e9h9re&e!tat)'!0 @HR 14$ 897

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    PE ="l=ae wart&0TO@0)!tat 770le=el4/

    Te79. ;,C

    Che&t 8a&al !e rale&

    PA@H 2-/4$

    @HR =e

    PE C l'&e5

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    D: Mal )! 9re(!a!#

    Ge!)tal wart&

    P9 DD< 9!e"7'!)a

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    Pla!:%r(e!tRG

    S ?'r 79&0H8 le=el0

    Nal 2L0 ta8&

    'tr)7'a>'le 36$7( t5& 1/2

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    At 12.;$ re=)ewe5 !5)!(+

    D#&9!'e)0RR;4r97

    Ge!eral 8'5# wea!e&&09)!0 A?e8r)le

    RG 2.277'l/L P ,$/4$

    Re&9. 8a&al !e rale&0

    PA @H2-/4$0@HR =e0

    PE C< l'&e50

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    D: H#9'(l#ae7)a0

    PCP R/' PT0Malar)a )! 9re(!a!#0

    I%GR0

    Oral a!5)5)a&)&0

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    Pla!: 1$5etr'&e 1L0 ta8&")!)!e 6$$7( t5& 6/,0

    9e! I% 6hrl# 240 7)'!a>'le'ral (el -hrl# /,0 Hae7at)!)&0

    S @OR MPS0

    RG0 Se9tr)! 132$7( t5&0&9"t"7 ?'r A@0

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    At 16$$hr& 9t wa& re=)ewe5 !5)!( !'t&tarte5 7e5))!e &he a!t aF'r5

    Pla!: )!?'r7 O=erallO#(e! thera9#

    C'!t M a8'=e

    N"r&e )! ar5)a 8e5

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    At 1,4hr& 9t ='7)te5 '!e

    St)ll ha& 5)B"lt )! 8reath)!(

    I!rea&e5 ?re"e!# '? '"(h)!(Pt 5eter)'rat)!(

    PR 12897

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    D PCP

    &e=ere a!ae7)a )! 9re(!a!#

    Malar)a )! 9re(!a!# H#9'(l#ae7)a

    H#9'te!&)'!

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    Plan: C'!t)!"e '#(e! thera9#

    )!et)'! h#5r''rt)&'!e

    1$$7( &tat ReFer t' MNH ?'r 8l''5

    tra!&?"&&)'! a!5 'ther

    Ma!a(e7e!t

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    At 2124hr& 9t ret"r!e5 ?r'7 MNHalrea5# 5ea5 w)th'"t a!# wr)tte!!'te.

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    CA%SE O@ DEATH

    CARDIORESPIRATORY ARREST

    SECONDARY TO AIDS

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    S"77ar#

    I ha=e 8ee! 9re&e!t)!( a 7ater!al 5eath'? S.A 41#r& 'l5 GP4$ L4 wh'a57)tte5 '! 2601102$11 at TM h'&9)tal

    w)th la8'r l)e 9a)! a!5 5)e5 a 5a# a?tera57)&&)'! w)th HI/AIDS relate5 )!9re(!a!#

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    Pre=e!ta8le Deathre=e!ta8le Death

    Ye&e&

    At ?a7)l# le=elt ?a7)l# le=el

    D"r)!( ANC"r)!( ANC

    At Te7eet Te7e4eAt "h)78)l)

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    *hat wa& 5'!e :'rre:tl#

    Pt atte!5)!( RCH a& erl# a& 12w& GA

    Pt atte!5)!( h'&9)ta a& &he ?'"!5a85'7)!al 9a)!

    @re"e!# re=)ew

    A!5 &a7e 7a!a(e7e!t

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    *hat wa& )!a9r'9r)ate

    At ?a7)l# le=el '!e)=e

    At the RCHI!=e&t)(at)'!

    Ph#&))a! JCar5)'l'()&tK

    ECG. A!5 ECHO

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    At Te7e4e H'&9)tal

    The a57)tt)!( !"r&e wa& !'t ee!

    e!'"(h t' real)>e the 9t '!5)t)'!a!5 &ee &e'!5 '9)!)'!.

    Dr 5)5 !'t &ee a5=)e ?r'7 e9ert&.

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    Thanx

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    Pre=e!ta8le Death

    Ye&

    D"r)!( ANC

    At Te7ee

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