Monday, June 1, 2015
Rhapsody, Rhetoric, Rhythm
A 35 year old G4P1 woman at 32 weeks gestation is referred to your obstetric practice because of an unusual ultrasound. She has not had prenatal care because she immigrated from Mexico just several weeks ago. She established care with an obstetrician who obtained an ultrasound showing ascites, pericardial effusions, and pleural effusions. She then referred the patient to you for further workup and management.
The patient does not regularly see a doctor and doesn't know about any medical problems. Her family history includes diabetes, cataracts, and dementia. Her husband is healthy but has a family history of hypertension, kidney disease, and alcoholism. The patient's other children are healthy. Her past surgical history only includes several orthopedic surgeries and exploratory laparotomies when she had a severe car accident in her early twenties. She spent time in an ICU but does not recall the details. Although she has used IV drugs in the past, she has been clean for five years. She does not drink or smoke.
Challenge: You perform the test shown above. What are you looking for?
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