Hyperemesis gravidarum

Summary of Hyperemesis gravidarum
Hyperemesis gravidarum is a complication of pregnancy caused by high serum levels of β-hCG that is characterized by severe nausea and vomiting such that weight loss and dehydration occurs. Signs and symptoms may include vomiting several times a day and feeling faint. It is more severe than morning sickness. Symptoms usually get better after the 20th week of pregnancy, but may last the entire pregnancy. The condition is also seen in patients with a hydatidiform mole and in multiple gestations. Treatment is with thiamine supplementation, antiemetics, and steroids for severe, intractable hyperemesis.

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Pathology

Reproductive system

Male and female reproductive system disorders
Male reproductive system disorders
Female reproductive system disorders
Reproductive system pathology review

Assessments
Hyperemesis gravidarum

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High Yield Notes
17 pages
Flashcards

Hyperemesis gravidarum

8 flashcards
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Weight loss (is/is not) a feature of hyperemesis gravidarum.

Questions

USMLE® Step 1 style questions USMLE

4 questions

USMLE® Step 2 style questions USMLE

5 questions
Preview

A 31-year-old woman, G1P0 at 12 weeks gestation, comes to the emergency department because of persistent vomiting for the past 5 days. She has been unable to keep down solids or liquids for the last 36 hours. Vital signs show her temperature is 37°C (98.6°F), pulse is 95/min, respirations are 12/min, and blood pressure is 112/78mmHg. Her pre-pregnancy weight was 61kg (135lb) and her current weight is 58kg (128lb). Physical examination shows dry mucous membranes, crackled lips, and poor sign turgor. In a case of suspected hyperemesis gravidarum which of the following investigations is required to establish the underlying cause? 

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