Complicated Postpartum Note Extras

NOTES, OB/GYN

These are extra things I consider for complicated postpartum notes. For the basic uncomplicated postpartum note upon which I add these extras, click here. Subjective: If there is excessive vaginal bleeding, quantify. What kind of pads? How many pads at once? How often...

L&D Admission History and Physical

NOTES, OB/GYN

Resident: Attending: CC: Abdominal cramps and back pain. HPI: 20-year-old G1P0 at 39 wks by LMP and Ultrasound at 14 weeks comes in complaining of back pain and abdominal cramps. She is on day two of Macrobid treatment for UTI. She has been having this pain for a few...

Indwelling Catheter

OB/GYN

Indwelling Catheter http://calder.med.miami.edu/pointis/indwelling.html

Contraception, Birth Control, Family Planning

Clinic A/P, adults, Clinic A/P, Peds, OB/GYN

-See HPI. -LMP: ___ -Cycle day#:____ of a 28-day cycle. -Pregnancy test today: Negative. -Different methods of contraception discussed with her including benefits, risks, and side effects. -Counseling: No contraceptive method is perfect. Patient understands that the...

Fetal Heart Tones

OB/GYN

Transvaginal Ultrasound

OB/GYN

*** There is a different between a transvaginal ultrasound and an abdominal ultrasound. One goes through the vagina and the other looks from outside through the abdominal wall.