Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
154 Doctors are Online

35 weeks gestation, minimal cough with shortness of breath, fever, SOB. Assessed with mild CHF, secondary VHD-RHD. Treatment?

Hi, I have a 36 y.o.G4P3 (3 miscarriages) and in her 35 week gestation came to OPD complaining of minimal coughing with shortness of breaths on excertions. She claims having dysuria . She is also having fever and chills. No hemoptysis . Appetite is tolerable. She was diagnosed several years back for RHD... with some degrees of MA, MS and AR. She has been having SOB for 7 days now... was seen 2 days ago at ER and sent home. On exam. she is quite letharic with some respiratory distress. Thin looking and pale. ENT: conjunctiva: pallor bilat. Lungs; rales bilat. CVS; grad. III syst. murmur(ms,mi) and grad. III dia. murmur (AR). ?pulsing JVP Ext: mild pedal edema bilat Abd: globular,,, can t auscult fetal heart tone... rest noncontributory... Assessment: mild CHF secondary VHD-RHD IUP R/O UTI Plan: Refer to ER... CBC/CHEM. AND UA No meds yet ordered... what would you suggested?
Asked On : Sat, 29 Dec 2012
Answers:  1 Views:  40
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
OBGYN 's  Response
Thanks for writing to us.
The examination findings that you have described are suggestive of a congestive heart failure due to a cardiac problem. She needs a careful treatment under the care of a cardiologist and a gynecologist to save her baby.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL
Dr. Rakhi Tayal
Answered: Mon, 14 Jan 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor