Pregnancy follow up visit
30 yo female at 27 weeks gestation presented to her OBGYN for a routine office visit. She has no medical problems and has been doing well with this pregnancy, only minimal nausea thus far. Denies any abdominal pain or vaginal bleeding.
She has always had low blood pressure and denies any headache or dizziness.
T 98.3 BP 92/63 HR 79 RR 12 SPO2 99% on room air
Gen: in no distress, healthy appearing mother
CVD: S1, S2, 2/6 systolic murmur
ABD: consistent with pregnancy
Extremities: No edema or deformity
Fetal doppler heart rate of 250 bpm
After noting the elevated heart rate, a POCUS exam was performed to look at the baby's heart.
General fetal exam
Fetal cardiac exam
What is the diagnosis and management?
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