Case of Gestational diabetesmellitus .pptx

This is to share a case presentation on diabetes mellitus

1. GDM

2. 37YO G4P1112 at 26W6D by Early, admitted for preterm labour , GDM. ID 597914 CC : Lumbopelvic pain like uterine contractions HPI : Symptoms started 3days prior to admission with lower abdominal and back pain increasing in frequency and intensity, associated weakness and dizziness, she denied any gush of fluids, no fevers, no dysuria, so today she consulted a private clinic and RBS was 388 and she was transferred for better mgt ROS: No fever, no headache, no PV bleeding, no heat intolerance ATCDs:G4P1112 G1 in 2013 a 4.6 kg c male in 2015 by c/s for transverse presentation at 36weeks for PROM LMP: 08/03/2022 ANC: 3 at Private clinic and 1 at KFH PMHx: She was told to have MNG but was not put on medication, HIV:neg PSHx : No other surgical hx BG: O+ P/E: In pain BP: 110 /76, HR: 113 , RR:24, T:36.5, SPO2: 96 GCS:15/15 RS : Increased respiratory rate, lungs are clear CVS : Regular tachycardia, S1&S2 audible. ABD : Gravidic uterus, 2 UC in 10 min, lasting 20-25 sec, SFH 32cm GUS: Cervix is admitting tip of finger MSK : No edema, no deformities U/S: SIUP, cephalic, EFW 1.6kg, FHR 149, AFI of 21, Anterofundic placenta Normal dopplers Urine Dipsticks: Ketone + , Glucose++ Protein++ Labs : Hb: Hct : Plt : WBC: BG: Hep B: HIV: ASS : 37YO G4P1112 at 26W6D by Early, admitted for preterm labour , GDM. To R/O DKA Plan : Admit in Labor ward Give nifedipine 20mg to repeat after 30 min IV Fluid 2 liter bolus To start insulinotherapy after labs Evolution :