Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Cholestasis of pregnancy, Exposure during pregnancy, Fibronectin increased, Haemoglobin
Clinical narrative: Obstetrical Discharge Summary    Name: Age: 17 y.o. EDD: Estimated Date of Delivery: 9/10/22 Gravity/Parity: G1P0   Discharge Diagoses: Active Problems:   Preterm uterine contractions in third trimester, antepartum   34 weeks gestation of pregnancy   High risk teen pregnancy, third trimester   Positive fetal fibronectin at 22 weeks to 34 weeks gestation   Yeast vaginitis   COVID-19 affecting pregnancy in third trimester   Cholestasis of pregnancy in third trimester Resolved Problems:   * No resolved hospital problems. *     Discharge Medications:   Medication List   START taking these medications  aspirin 81 mg chewable tablet Take 1 Tablet by mouth Once Daily.   terconazole 0.8 % vaginal cream Commonly known as: TERAZOL 3 1 Applicator by Vaginal route Once Daily.     CONTINUE taking these medications  famotidine 20 mg tablet Commonly known as: PEPCID Take 1 Tablet by mouth Twice a day.   hydrOXYzine pamoate 25 mg capsule Commonly known as: VistariL Take 1 Capsule by mouth Every 6 hours as needed for Itching.   loratadine 10 mg tablet Commonly known as: CLARITIN Take 1 Tablet by mouth Once Daily.   ondansetron 8 mg disintegrating tablet Commonly known as: ZOFRAN-ODT Take 1 Tablet by mouth Twice a day.   Promethazine-DM 6.25-15 mg/5 mL syrup Commonly known as: PROMETHAZINE-DM Take 5 mL by mouth Every 4 to 6 Hours as needed for Cough.   ursodioL 300 mg capsule Commonly known as: ACTIGALL Take 1 Capsule by mouth Three times a day.     STOP taking these medications  cephALEXin 500 mg capsule Commonly known as: KEFLEX   pyridoxine (vitamin B6) 25 mg Tab     ASK your doctor about these medications  omeprazole 40 mg DR capsule Commonly known as: priLOSEC Take 1 Capsule by mouth Once Daily for 30 days. Ask about: Should I take this medication?       Where to Get Your Medications   o aspirin 81 mg chewable tablet o terconazole 0.8 % vaginal cream       Follow Up Instructions Tuesday in office       Brief Hospital Course: 17 YO G1 admitted with preterm contractions, 1 cm dilated.  Received ANCS, 2 doses.  Terbutaline 2 doses for tocolysis.  Tested positive for COVID on admission.  She is asymptomatic.   Being treated for cholestasis.  Bile acids 14 or less.  Vaginal discharge present.  Yeast positive. Cervix 60/0.5/-2  At time of discharge.      Vital Signs   Blood Pressure: BP: 114/60 Pulse: Pulse: 82 Temperature: Temp: 97.7 °F (36.5 °C)  Respirations: Respirations: 17  Admission Weight: Weight: 77.7 kg (171 lb 3.2 oz) O2 Saturation: SpO2: 100 %  Today's Weight: Weight: 77.7 kg (171 lb 3.2 oz) BMI: Body mass index is 31.31 kg/m².    Physical Exam   ? Breast NA ? Abdomen Soft, uterine fundus small, but palpable, non-tender ? Wound none ? Neuro Alert, orientedx3 ? Derm No rashes ? LE No edema   Labs: No results for input(s): HGB, WBC, PLT in the last 72 hours.   Impression & Plan: Active Problems:   Preterm uterine contractions in third trimester, antepartum   34 weeks gestation of pregnancy   High risk teen pregnancy, third trimester   Positive fetal fibronectin at 22 weeks to 34 weeks gestation   Yeast vaginitis   COVID-19 affecting pregnancy in third trimester   Cholestasis of pregnancy in third trimester   Plan: home today     Date: July 31, 2022 Time: 12:35 PM