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3rd trimester with RUQ pain

A) Epigastric pain caused by the liver
B) Placental abruption
C) Dark red vaginal bleeding (Notify HCP)
D) Oliguria (30ml or less = Kidney distress! (Notify HCP)

1 Answer

3 votes

Final answer:

Experience of RUQ pain during the third trimester could be due to liver enlargement or the presence of cysts causing epigastric pain. It's vital to notify healthcare providers about severe symptoms like dark red vaginal bleeding or oliguria, indicating kidney distress. Other third-trimester symptoms include back pain, frequent urination, and heartburn due to the growing fetus.

Step-by-step explanation:

The student's question is about experiencing right upper quadrant (RUQ) pain during the third trimester of pregnancy. This could be indicative of a series of conditions, one of which includes hepatic changes such as liver enlargement due to the growing fetus and possibly the presence of cysts in the liver, leading to epigastric pain. Other conditions related to symptoms described in the options like placental abruption and renal colic due to kidney stones should also be considered. In the case of severe abdominal symptoms or changes like dark red vaginal bleeding or oliguria (30ml or less which indicates potential kidney distress), it is crucial for the patient to notify their healthcare provider (HCP) immediately for proper evaluation and management.

During the third trimester, the mother may also experience symptoms such as frequent urination, back pain, and constipation due to the increased size of the uterus and pressure on surrounding organs. Gastric reflux or heartburn can also be a common complaint due to this pressure.

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