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Diagnosis?

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This is not a diagnosis slip per se - it is an early obstetric consultation note. Here is what the handwritten document shows:
Patient: Neha Bhadigaben Date: 4/7/26 Doctor: Dr. Rinkesh Patel, UMA Hospital, Surat (Obstetrician & Gynecologist)
Clinical Findings:
  • LMP - 27/5/24 - Last Menstrual Period was May 27, 2024. This is used to calculate gestational age and the expected date of delivery.
  • UPT - Positive (circled) - Urine Pregnancy Test is positive, confirming pregnancy.
  • U/S - Ultrasound has been advised as the next step.
Summary:
The document records a confirmed pregnancy based on a positive urine pregnancy test, with LMP noted for gestational dating. An ultrasound has been recommended to confirm intrauterine pregnancy, visualize the gestational sac, and calculate the estimated due date (EDD).
There is no formal written diagnosis on the slip beyond the positive UPT and the referral for ultrasound. The implicit clinical picture is an early pregnancy, likely first trimester based on the LMP provided.

UPT is negative that doctor suggested me

Thank you for the correction. So to clarify the picture:
Clinical Summary:
  • LMP: May 27, 2024 (or 2026 - the year noted on the slip is 26)
  • UPT: Negative (as corrected by you)
  • U/S advised - Ultrasound recommended by the doctor
What this means:
The doctor has noted that your urine pregnancy test is negative, but your period is delayed/missed (going by the LMP recorded). Because of this discrepancy, the doctor has advised an ultrasound to investigate further.
Possible reasons a doctor orders ultrasound with a negative UPT and missed/irregular period include:
  1. Very early pregnancy - UPT can occasionally be falsely negative if done too early or with dilute urine
  2. Anovulatory cycle - No ovulation occurred, causing a delayed/absent period
  3. Polycystic Ovary Syndrome (PCOS) - A common cause of irregular or missed periods
  4. Hormonal imbalance - Various causes
  5. Ovarian cyst - Can disrupt the normal cycle
  6. Stress or thyroid issues - Can cause missed periods
Recommended next step: Get the pelvic ultrasound done as advised. It will give a clear picture of the uterus, ovaries, and endometrial lining, which will help the doctor arrive at a definitive diagnosis.
If you have not already, also consider doing a blood beta-hCG test, which is more sensitive than a urine pregnancy test for detecting early pregnancy.
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