Medicine an Surgery notes

Apr 24th, 2015
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HYPEREMESIS GRAVIDARUMDefinition:Persistent vomiting in a pregnant woman that interferes with fluid and electrolyte balance, as well as nutrition Hyperemesis gravidarum is characterized by persistent nausea and vomiting associated with ketosis and weight loss (>5% of prepregnancy weight). Hyperemesis gravidarum may cause volume depletion, electrolytes and acid-base imbalances, nutritional deficiencies, and even death. Severe hyperemesis requiring hospital admission occurs in 0.3-2% of pregnanciesNausea and vomiting in pregnancy is extremely common. Hyperemesis gravidarum (HEG) is the most severe form of nausea and vomiting in pregnancy. A continuous spectrum of the severity of nausea and vomiting ranges from the nausea and vomiting that occurs in most pregnancies to the severe disorder of hyperemesis gravidarumPatients should be evaluated for unsuspected liver disease, kidney infection, pancreatitis, intestinal obstruction, GI tract lesions, and intracranial lesions, all of which can cause vomiting.Hyperemesis appears to be related to high or rapidly rising serum levels of chorionic gonadotropin or estrogensThyroid dysfunction can be associated with hyperemesis gravidarum, so it is advisable to determine TSH and free T4 values in these patientsHyperemesis gravidarum is distinguished from morning sickness by weight loss (> 5% of weight) and development of dehydration and ketoacidosis.Epidemiology:Studies estimate that nausea and vomiting occurs in 50-90% of

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