Nausea and vomiting of pregnancy Quiz: Ace Your Exams
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A 26-year-old woman, gravida 1 para 0, at 8 weeks gestation presents to the emergency department for evaluation of persistent nausea and vomiting for one week. The patient has been taking pyridoxine and doxylamine for her symptoms without relief, and she cannot tolerate oral intake of solids or liquids. She has no abdominal pain or urinary symptoms. The patient has a past medical history of migraines for which she takes acetaminophen. Temperature is 37°C (98.6°F), pulse is 111/min, respiratory rate is 22/min, blood pressure is 102/60 mmHg, and oxygen saturation is 97% on room air. Current weight is 118 pounds. Pre-pregnancy weight was 125 pounds. Physical examination reveals dry mucous membranes and poor skin turgor. Abdominal and cardiopulmonary examinations are within normal limits. Which of the following additional findings would indicate hyperemesis gravidarum?
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