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What's Your Diagnosis? A Case Study

What's Your Diagnosis? A Case Study

This is the case of a 28-week pregnancy for which the mother underwent routine sonography.

History and symptoms: This 34-year-old woman came for routine sonographic examination at 28-weeks gestational age with a history of normal menstrual cycles prior to the pregnancy. She had no history of any major illness before the sonographic examination.

Family history: This patient, the mother, was one of four children. This was her second pregnancy. The first child is a healthy male of five years age.

Present pregnancy:  The patient had a history of 28-weeks amenorrhea which corresponded with the age of the fetus on ultrasound scan. She had no history of antepartum hemorrhage or discharge during this pregnancy.

Clinical examination: Her blood pressure was normal (BP: 122/ 82 mm. of Hg); her other vital signs were normal. On examination of the chest there were no abnormalities. On abdominal examination, the fundal height of the patient corresponded to the gestational age of 28-weeks. 

Imaging studies: This patient underwent routine transabdominal sonography to study the biophysical profile of the fetus and also to exclude any congenital anomalies. Her previous ultrasound examinations did not reveal any major anomalies. Ultrasound images of the current sonographic examination are on the following pages.

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