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DATOS GENERALES:
Fisiológicos:
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Gineco-obstétricos:
Cantidad_______________________ Color___________________________
Gestaciones previas:_____________
Partos eutócico_____________ partos distócico_____________
Abortos:________
Fisiológicos______________ provocados_________________
Nacidos vivos_________
Nacidos Muertos______________
Fecha de culminación Del último embarazo____________
Peso Del niño AL nacer ________________kg
Embarazo planeado_______________
Fracaso de métodos anticonceptivos
No usaba________ pildora______________
Inyecciones_______ DIU_______________
Barrera___________ Ritmo_______________
Examen físico:
General:
Piel y Mucosas:
TCS:
Faneras:
Panículo Adiposo:
Regional:
- Cabeza:
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- Cuello:
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- Tórax:
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Mamas:
Áreolas: Pezones:
Abdomen:
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Por Aparatos:
Aparato respiratorio:
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Aparato cardiovascular:
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Examen obstetrico:
AU: __________.
MF: __________.
F.C.F: _________.
Posición: __________________.
Presentación: _________________.
Situación: ____________________.
Aparato genitourinario:
AP. Urinario:
Genitales Externos:
Vulva:
Flujo:
Especuloscopía:
Tacto Vaginal:
Cuello Uterino:
Sistema nervioso:_____________________________________________________________________
Planteamiento sindrómico:
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Evidencias Diagnosticas
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Impresión Diagnóstica:
________________________________________________________________________________________.
Diagnóstico Diferencial:
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TRATAMIENTO :