Case Scenario 1
Table 1
Classification and Symptoms of hypertensive Disorder of Pregnancy
Table 2
Define and differentiate between the following PP disorders:
Classification Definition Gestational Age in weeks
Maternal BP
Proteinuria Seizures
example >20 weeks >120/80 Yes or No Yes or No
Gestational HTN
Mild Preeclampsia
Severe Preeclampsia
Eclampsia
Chronic HTN
Superimposed Preeclampsia
Definition Signs and symptoms
Management of the Diagnosis
Postpartum Blues
Postpartum Depression
Postpartum Obsessive Compulsive Disorder
Hannah is 38 years old, G1P0, 32 weeks EGA and comes to you for her routine prenatal appointment. Her BP is 156/96 and her urine has 2+ protein. She complains of having a headache that will not go away and just not feeling “right” for the past 7 days.
Write a brief SOAP note regarding this patient. Make sure to include your answers to these questions in your SOAP note.
1. Subjective: a. What other relevant questions should you ask regarding the HPI? b. What other medical history questions should you ask? c. What other OB history questions should you ask?
2. Objective: a. Describe the appropriate physical assessment that needs to be included in this visit. b. Explain what test(s) you will order and perform, and discuss your rationale for
ordering and performing each test.
Postpartum Psychosis
Definition Presentation (include Signs and Symptoms)
Management of the Diagnosis
Puerperal Fever
Postpartum Hematoma
Secondary (delayed) Postpartum Hemorrhage
Sore Nipples
Mastitis
Breast Abscess
3. Assessment/ Diagnosis: a. What is your diagnosis? b. Include any appropriate differential diagnosis
4. Plan: a. Do you feel that this can be managed via outpatient? Why? How will you manage
this? b. Do you feel that should be managed inpatient? Why? What do you think will be done
in patient? c. If you chose to manage outpatient- explain the medication regimen, testing, and
follow up that needs to be done. d. If you chose to manage inpatient- explain what medication and testing will be done in
patient, and how will you continue management once patient is discharged. What medication and testing do you need to continue for this patient?
e. What patient education is important to include for this patient? f. Explain complications that can occur if patient does not comply with treatment
regimen.
Provide evidence from the research to support your decision-making.