Outpatient Obstetrics
View Milestones, EPAs and Basic Clinical Skills
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This case incorporates the following Milestones:
OB 1: Antepartum Care and Complications of Pregnancy
- Demonstrates basic knowledge of normal obstetrical care and common medical complications seen in pregnancy
- Demonstrates basic knowledge of normal postpartum care
- Verbalizes basic knowledge about common contraceptive options
- EPA 1: Gather a history and perform a physical examination
- EPA 2: Prioritize a differential diagnosis following a clinical encounter
- EPA 3: Recommend and interpret common diagnostic and screening tests
- EPA 4: Enter and discuss orders and prescriptions
- EPA 10: Recognize a patient requiring urgent or emergent care
Case: Ms. Nora Adams is a 40-year-old G7P4115 who presented initially for care at 12 weeks of gestation. She had a normal first trimester ultrasound that confirmed dating, but did not have her labs done and never returned for a follow-up visit until now. She is now at 36-weeks gestation.
Tasks:
- Take a complete history from this patient
- Perform a focused physical examination on a pregnant patient
- Develop an initial problem list for this patient
- Order diagnostic tests
- Interpret diagnostic tests
- Develop a diagnosis
- Identify risk factors for pre-eclampsia
- Develop a management plan for a patient with pre-eclampsia with severe features
- Identify components of postpartum care
