Answer Page: Obstetrics -

Chest Discomfort in Late Pregnancy

Patient Details

Physical Exam Findings

Task Answers

External Reference

Physical Examination Card

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Physical Examination Card

Neurological examination

Patient's Details

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Opening statement

Current pregnancy

Previous pregnancies

Past medical history

Family medical history

Diet and nutrition

Online crafting business

Appearance act out (during role play)

Questions to ask the doctor

Expectations from the doctor

DockRoach™ Approach

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Key Concepts Here

Key concepts continued

Reading time techniques

Quickly think about task answers

Introduce yourself and ask for the patient's name

Structure for History Taking continued

Associated symptoms

Swelling or pain in legs

Anxiety or stress

Obstetric History

Movements or kicks from your baby

Gestational diabetes

Past medical and family history

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Normal findings

Interpreting concerning findings

Organize request systematically

Request a thorough examination of the genital and pelvic systems

Respiratory system

Abdomen (antenatal examination)

Other important systems to examine

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Pregnancy hormones

Clinical features

Chest discomfort

High blood pressure

Empathy and reassurance

Additional References:

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Patient Information

Explaining topic to patient

Pregnancy signs and symptoms (BetterHealth.vic.gov.au)

Heart Murmur (Betterhealth.vic.gov.au)

What to know about flow murmurs (MedicalNewsToday.com UK)

Reliable online resources for learning on this topic.

Quick Notes

See diagrams or notes on topic

Physiological changes in pregnancy for Medical Professionals (Patient.info UK)

Normal and adverse Cardiac clinical symptoms and signs during pregnancy (Heart disease in pregnancy - ScienceDirect)

Useful online resources for learning on this topic.

Guidelines & Articles

Diagnosis and management on topic

Cardiac Disease in Pregnancy Source: The Royal Women’s Hospital Victoria (South Australian Perinatal Practice Guideline)

(Journal) Cardiovascular Physiology of Pregnancy (American Heart Association)

Systolic murmurs in pregnancy: value of echocardiographic assessment (PubMed - National Library of Medicine)

Clinical Practice Guidelines (CPG) on this topic from the official website.

UpToDate

Detailed reading on topic

Comprehensive list of differential diagnosis adult with chest pain (UpToDate.com US)

Innocent midsystolic murmur (UpToDate.com US)

Cardiovascular and hemodynamic changes (UpToDate.com US)

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Tip Here:

Differentiate between benign causes like flow murmurs and serious conditions like pulmonary embolism or peripartum cardiomyopathy. Always check for red flags like shortness of breath, palpitations or swelling.

This website has used the following for reference in preparing the contents.

Australian Medical Council (AMC) Handbook of Clinical Assessment reprinted 2018 edition

John Murtagh's General Practice 8th edition

Tally O'Conner's Clinical Examination 8th edition

Better Heath Channel

The Royal Women's Hospital Victoria Australia

Gynecology by Ten Teachers 20th edition

Obstetrics by Ten Teachers 20th edition

Paediatric Handbook 10th edition

Suggested reading material for examination preparation by the AMC

The Royal Australian College of General Practitioners

Therapeutic Guidelines (eTG)