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Obst und Gemüse - Deutsch lernen - Fruits and vegetables in German

Formas imperativas Las desinencias del modo imperativo para la segunda persona se muestran en el siguiente cuadro. Las desinencias del cuadro son para la segunda persona singular.

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Reading Obstetric History Taking — OSCE Guide. Share Tweet. Obstetric History Taking — OSCE Guide. Download the obstetric history taking PDF OSCE checklist , or use our interactive OSCE checklist.

You may also be interested in our gynaecological history taking guide. Example of gravidity and parity calculation A patient is currently 26 weeks pregnant and already has two children of her own.

How does parity work for twins? General communication skills It is important you do not forget the general communication skills which are relevant to all patient encounters.

Some general communication skills which apply to all patient consultations include: Demonstrating empathy in response to patient cues: both verbal and non-verbal.

Active listening: through body language and your verbal responses to what the patient has said. An appropriate level of eye contact throughout the consultation.

Open, relaxed, yet professional body language e. Making sure not to interrupt the patient throughout the consultation.

Establishing rapport e. Signposting: this involves explaining to the patient what you have discussed so far and what you plan to discuss next.

Summarising at regular intervals. Open vs closed questions History taking typically involves a combination of open and closed questions.

Summary of key obstetric symptoms Key obstetric symptoms to ask about include: Nausea and vomiting : common in pregnancy and mild in most cases.

Hyperemesis gravidarum represents a severe form of vomiting in pregnancy associated with electrolyte disturbance, weight loss and ketonuria.

Reduced fetal movements : can be associated with fetal distress and absent fetal movements may indicate early fetal demise. Vaginal bleeding : causes include cervical bleeding e.

Abdominal pain : causes may include urinary tract infection, constipation, pelvic girdle pain and placental abruption.

Vaginal discharge or loss of fluid : abnormal vaginal discharge may be caused by sexually transmitted infections such as gonorrhoea and the loss of fluid from the vagina indicates rupture of the amniotic membranes.

Headache, visual disturbance, epigastric pain and oedema : these are typical clinical features of pre-eclampsia. Mild oedema is common and normal in the later stages of pregnancy.

Pruritis : associated with obstetric cholestasis typically affecting the palms and soles of the feet.

Unilateral leg swelling : consider and rule out deep vein thrombosis. Chest pain and shortness of breath : pregnant women are at increased risk of developing pulmonary emboli.

Systemic symptoms : fatigue e. Medical conditions which are particularly important to be aware of during pregnancy Diabetes type 1 or 2 : blood glucose control can deteriorate significantly during pregnancy resulting in poor maternal health and fetal complications e.

Teratogenic drugs Some examples of drugs that are known to be teratogenic include: ACE inhibitors Sodium valproate Methotrexate Retinoids Trimethoprim.

Medications frequently used during pregnancy Some medications are commonly used in pregnancy to both reduce the risk of fetal malformations and treat the symptoms of pregnancy.

Oral iron: frequently used in pregnancy to treat anaemia. Antiemetics: frequently used in pregnancy to manage nausea and vomiting e. Antacids: frequently used to manage gastro-oesophageal reflux symptoms during pregnancy.

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