The patient was given prenatal education packets as well as an order for her prenatal labs, and a formal first trimester ultrasound. Fetal heart tones were noted in the 150s, and no maternal adnexal masses were seen. Crown-rump length measured 9 weeks and 4 days, corroborating the gestational age by her LMP. No erythema was noted, and no palpable cords could be appreciated.Ī bedside transvaginal ultrasound was notable for an intrauterine pregnancy. ![]() Examination of her extremities noted swelling of both legs, the left greater than the right. Her pelvic exam was normal, noting an appropriately enlarged uterus. Her heart had a regular rate and rhythm, her abdomen was soft and nontender, and her lungs were clear bilaterally. Her vital signs were within normal limits, with a blood pressure of 116/64 mm Hg and a heart rate of 76 beats per minute (bpm). She was speaking in full sentences and did not have labored breathing. On physical examination, the patient was in no acute distress. She described having a “shooting pain up and down” her left leg. She also complained of worsening pain in her legs, noting that although she has had long-standing varicose veins that made it difficult to walk, stand or put pressure on her legs, her symptoms on the left leg worsened significantly the day before. However, she did note that her activity level was decreased because of her morning sickness, and she would remain in bed for several hours. She had no recent travel or long car rides and was able to climb stairs as she had before. ![]() On review of systems, she reported no difficulty sleeping and no shortness of breath. Her body mass index was 45 kg/m2.Īt her first prenatal visit at 9 weeks and 4 days of gestation, she noted some morning nausea but was able to tolerate food without difficulty. She had used oral contraceptives prior to the current pregnancy without incidence. She denied having a history of blood clots, including no family history. She had no history of hypertension (aside from the gestational hypertension noted above) and no history of diabetes inside or outside of pregnancy. Her medical history was notable for migraine headaches with aura and varicose veins in the left leg. Her last pregnancy was notable for gestational hypertension but otherwise her pregnancies and deliveries were uncomplicated. She had a history of 4 prior vaginal deliveries: 3 were full-term and uncomplicated, and 1 was at 36 weeks in the setting of a stillborn fetus with trisomy 18 and multiple fetal anomalies. Most other consumer electronic devices containing batteries are allowed in carry-on and checked baggage.įor more information, see the FAA regulations on batteries.A 29-year-old gravida 5, para 4 patient presented for her first prenatal visit at 10 weeks by her last menstrual period (LMP). If you need assistance with screening, you may ask for a Passenger Support Specialist or a Supervisory TSA Officer.ĭevices containing lithium metal or lithium ion batteries must be carried in carry-on baggage. For more information, see TSA special procedures. If you cannot disconnect from the device, it may require additional screening and those in sensitive areas are subject to careful and gentle inspection. Consult with the manufacturer of the device to determine whether it can pass through the X-ray, metal detector or advanced imaging technology for screening. Submit the device for X-ray screening if you can safely disconnect. ![]() ![]() You may provide the officer with the TSA notification card or other medical documentation to describe your condition. Inform the TSA officer if you have a bone growth stimulator, spinal stimulator, neurostimulator, port, feeding tube, insulin pump, ostomy or other medical device attached to your body and where it is located before the screening process begins. Checked Bags: Yes (Special Instructions).Carry On Bags: Yes (Special Instructions).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |