CEMD
Case Report
Mdm J, a 25-year-old Primigravida, presented with secondary arrest of labour after a first stage of 24 hours. She has a 1 week history of game-playing, over-sleeping and denial. There was no antenatal check-up and she had planned for a home delivery. Contractions has started and continued until 5 hours post-expected time of delivery. She then presented to the A&E with signs of acute shock. The portfolio was in distress as evidenced by lack of summary, no critical appraisal and incomplete corrections.
Red alert was called by Dr JY Shim and was responded by doctors from all the departments. Emergency intervention was carried out. Corrections were conducted under supervision. Artificial appraisal and summary was inserted by Dr KH Chuah. Log book was resuscitated by an emergency stand-in team.
The portfolio was delivered at 6pm, 6 hours after expected time of delivery. It was healthy and shows no sign of tampering. The mother was discharged well.
The diagnosis was Severe Acute Portfoliolitis caused by chronic neglect.
Discussion
Acute Portfoliolitis is a rare condition suffered by an average of 70 men and women each year. It is an acute exacerbation of the relatively benign condition of chronic Portfoliolitis. Chronic Portfoliolitis lasts only six months and resolves after delivery. Acute Portfoliolitis occurs near delivery, probably as a response to the physiological changes of delivery. It is characterized by lack of sleep, appetite and acute panic. Although life-threatening Acute Portfoliolitis does not generally affect the delivery outcome and most portfolios were delivered on time. In this rare case of severe acute portfoliolitis, there has been a history of neglect. Studies have shown the risk factors for developing severe portfoliolits included game-playing, over-sleeping, denial, goin-home syndrome and patient-notes-missing syndrome1. Prevention and proper monitoring of patient with chronic Portfoliolitis is crucial in avoiding complications. Frequent Porfolio discussion and supervision by lecturers have been shown to reduce chronic portfoliolitis by as much as half2. The acute management of severe portfoliolitis is a multi-disciplinary approach.
Reference:
1) I.M Kiasu. Chronic Portfoliolitis: a multi-centered, prospective study. J IMU 2006,3: 42
2) Lectures Against Porfoliolitis (LAP) Group. Portfliolitis Vs Lectureritis: which is worse? J IMU 2005, 4: 57-75
Mdm J, a 25-year-old Primigravida, presented with secondary arrest of labour after a first stage of 24 hours. She has a 1 week history of game-playing, over-sleeping and denial. There was no antenatal check-up and she had planned for a home delivery. Contractions has started and continued until 5 hours post-expected time of delivery. She then presented to the A&E with signs of acute shock. The portfolio was in distress as evidenced by lack of summary, no critical appraisal and incomplete corrections.
Red alert was called by Dr JY Shim and was responded by doctors from all the departments. Emergency intervention was carried out. Corrections were conducted under supervision. Artificial appraisal and summary was inserted by Dr KH Chuah. Log book was resuscitated by an emergency stand-in team.
The portfolio was delivered at 6pm, 6 hours after expected time of delivery. It was healthy and shows no sign of tampering. The mother was discharged well.
The diagnosis was Severe Acute Portfoliolitis caused by chronic neglect.
Discussion
Acute Portfoliolitis is a rare condition suffered by an average of 70 men and women each year. It is an acute exacerbation of the relatively benign condition of chronic Portfoliolitis. Chronic Portfoliolitis lasts only six months and resolves after delivery. Acute Portfoliolitis occurs near delivery, probably as a response to the physiological changes of delivery. It is characterized by lack of sleep, appetite and acute panic. Although life-threatening Acute Portfoliolitis does not generally affect the delivery outcome and most portfolios were delivered on time. In this rare case of severe acute portfoliolitis, there has been a history of neglect. Studies have shown the risk factors for developing severe portfoliolits included game-playing, over-sleeping, denial, goin-home syndrome and patient-notes-missing syndrome1. Prevention and proper monitoring of patient with chronic Portfoliolitis is crucial in avoiding complications. Frequent Porfolio discussion and supervision by lecturers have been shown to reduce chronic portfoliolitis by as much as half2. The acute management of severe portfoliolitis is a multi-disciplinary approach.
Reference:
1) I.M Kiasu. Chronic Portfoliolitis: a multi-centered, prospective study. J IMU 2006,3: 42
2) Lectures Against Porfoliolitis (LAP) Group. Portfliolitis Vs Lectureritis: which is worse? J IMU 2005, 4: 57-75
1 Comments:
At August 10, 2006 at 10:55 PM,
Steve said…
BRILLIANT! Bong, i salute u...
p/s: i've been wanting to write something similar about "chronic a-money-emia" with all the pathophysio and acute exacerbation (amoneyemic crisis) etc etc... maybe u could see to it?? :P
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