Diagnosis of pregnancy
Diagnosis of pregnancy
Define pregnancy : The state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over – the counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X -ray, pregnancy lasts for about nine months, measured from the date of the woman’s last menstrual period (LMP).
We have described in article :
Summary of diagnosis of pregnancy
Positive or absolute signs.
Presumptive symptoms & signs
Solve a question about pregnancy.
Summary of diagnosis of pregnancy :
A. Positive or absolute signs :
- Palpation of the fetal parts & perception of active fetal movements by the examiner at about 20th week.
- Auscultation of fetal heart sounds.
- Ultrasound evidence of embryo as early as 6th week & later on the fetus.
- Radiological demonstration of the fetal skeleton at 16th week & onward.
B. Presumptive symptoms & signs : It includes the features mainly appreciated by the women.
- Amenorrhoea.
- Increased frequency of micturition.
- Morning sickness.
- Fatigue
- Breast changes.
- Skin changes.
- Quickeninng
C Probable signs :
- Abdomen enlargement.
- Braxton-Hick’s sign
- External & internal ballottement.
- Outlining of the fetus.
- Changes in the size, shape & consistency of the uterus.
- Jacquemier’s sign
- Softening of the cervix.
- Osiander’s sign
- Immunological tests
Solve a question about pregnancy :
- A mother within lactational amenorrhoea for one year complaining something moving inside her abdomen. What will be your approaches for diagnosis the case?
Answer :
Provisional diagnosis : Most probably this is a case of pregnancy.
Differential diagnosis : Ovarian tumour.
Approaches of the patient :
- Clinical approach :
- Side to side & above downwards movement : If side to side & above downwards movement present — –> ovarian tumour : if not —> gravid uterus.
- Fundal height.
- Fetal heart sound. If FHS present – – -> pregnancy.
2. Investigations :
- Immunological investigations / urine for pregnancy test.
- Ultrasonography : Confirmatory.
I like this site its a master peace ! Glad I observed this on google .
Great post. I am facing a couple of these problems.
After study a couple of of the blog posts on your website now, and I really like your means of blogging. I bookmarked it to my bookmark web site listing and will likely be checking again soon. Pls try my web page as well and let me know what you think.
It’s really a nice and helpful piece of info. I’m satisfied that you simply shared this useful information with us. Please keep us up to date like this. Thank you for sharing.