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Hyperemesis gravidarum

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Hyperemesis gravidarum

Case 7

Case 7

Human development days 1-4
Human development days 4-7
Human development week 2
Human development week 3
Development of the renal system
Development of twins
Development of the axial skeleton
Development of the fetal membranes
Development of the muscular system
Independent assortment of genes and linkage
Mendelian genetics and punnett squares
Hardy-Weinberg equilibrium
Inheritance patterns
Down syndrome (Trisomy 21)
Fluorescence in situ hybridization
Karyotyping
ELISA (Enzyme-linked immunosorbent assay)
Gel electrophoresis and genetic testing
Polymerase chain reaction (PCR) and reverse-transcriptase PCR (RT-PCR)
Anatomy of the breast
Anatomy of the female reproductive organs of the pelvis
Anatomy of the female urogenital triangle
Anatomy of the pelvic cavity
Anatomy of the pelvic girdle
Anatomy of the perineum
Arteries and veins of the pelvis
Nerves and lymphatics of the pelvis
Anatomy clinical correlates: Breast
Anatomy clinical correlates: Female pelvis and perineum
Hyperemesis gravidarum
Pregnancy

Key Takeaways

Hyperemesis gravidarum is a complication of pregnancy, in which there is persistent severe nausea and vomiting that can lead to dehydration and weight loss. People with Hyperemesis gravidarum experience vomiting several times a day, usually before the 20th week of pregnancy. This condition is often seen in primigravid young women and those with twin gestation or molar pregnancy.

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Flashcards

Hyperemesis gravidarum

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Questions

USMLE® Step 1 style questions USMLE

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A 36-year-old primigravid woman comes to the office at 15 weeks gestation due to vaginal bleeding. This morning, she woke up and noticed blood in her underwear. She has also had severe morning nausea that has been worsening, resulting in multiple episodes of vomiting throughout the day for the past week. She states it has been difficult to keep down anything she eats or drinks. She denies shortness of breath, changes in vision, or chest pain. She does not use tobacco, alcohol or illicit drugs. Current temperature is 37.0°C (98.6°F), pulse is 100/min, and blood pressure is 145/85 mmHg. On physical examination, a 19-week-size uterus and bilateral adnexal masses are palpated on bimanual examination. Laboratory tests show hCG concentrations of 110,000 mIU/mL. TSH is 0.1 μU/mL. Which of the following is the most likely diagnosis?