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Here's what the medical notes mean:
- Date: 16/8/26 - This is the date the notes were taken, likely August 16, 2026.
- Temperature: 36.3°C - The patient's body temperature, which is within the normal range.
- BP: 118/72 mmHg - Blood Pressure. This reading is normal. The top number (118) is systolic pressure (when the heart beats), and the bottom number (72) is diastolic pressure (when the heart rests between beats).
- P: 90 b/m - Pulse or Heart Rate. The patient's heart is beating 90 times per minute, which is slightly elevated but can be normal depending on activity.
- R: 20 b/m - Respiration Rate. The patient is taking 20 breaths per minute, which is within the normal range.
- Symptoms:
- Lower abdo pains: 3/7 - The patient has experienced lower abdominal pains for 3 out of the last 7 days.
- Backache - The patient is experiencing pain in their back.
- G: Noc - This likely means Gravida: No contractions or No complaints. In obstetrics, "G" often refers to gravida (number of pregnancies).
- DHS: No - This could refer to Diarrhea, Hemorrhage, or Swelling, or Deep Heat Sensation. Given the context, it likely means no diarrhea, hemorrhage, or swelling.
- Past History (P/H): nil H/O draining a month ago - The patient has no significant past medical history, except for a history of "draining" (possibly discharge or fluid leakage) a month ago.
- Physical Exam (P/E):
- Patient stable - The patient's vital signs and overall condition are good.
- No PV discharge - No Per Vaginal discharge (no abnormal discharge from the vagina).
- No loose stool - The patient is not experiencing diarrhea.
- No vomiting - The patient is not throwing up.
- P/O: J° C - This part is less clear due to handwriting, but "P/O" often means Per Os (by mouth) or Post-Op (post-operation). "J° C" could relate to jaundice status or another specific observation.
- Obstetric Details:
- LMP: 28/10/25 - Last Menstrual Period. The first day of the patient's last period was October 28, 2025.
- EDD: 4/8/26 - Estimated Due Date. The baby is expected on August 4, 2026.
- GA: 40 6/7 weeks - Gestational Age. The patient is 40 weeks and 6 days pregnant, which is full-term.
- Impression (Imp): ? UTI in pregnancy - The doctor's preliminary diagnosis or concern is a Urinary Tract Infection during pregnancy. The question mark indicates it's suspected, not confirmed.
- Plan:
- Urinalysis - A test of the urine to check for infection or other issues.
- Ops wise - This likely means "observations wise" (to continue monitoring vital signs and symptoms) or "obstetric wise" (to manage the pregnancy appropriately).
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