MBchB study guide

Apr 28th, 2015
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EARLY PREGNANCY NAUSEA & VOMITINGClassification1. Simple - Emesis Gravidarum2. Hyperemesis Gravidarum3. N/v associated with other disorders e.g. HepatitisCholecystitisIntestinal obstructionAETIOLOGYhCGProgesterone - relaxes smooth muscle & delays peristalsisPregnancy - pressure effectsOestrogenCortisolRxNon-pharmacologicalDry breakfast e.g. biscuits before arising from bedAvoiding spicy foods & fatty foodsAvoiding other triggers or precipitantsPharmacologicalAntiemeticsHYPEREMESIS GRAVIDARUMThis syndrome is defined as vomiting sufficiently pernicious to produce weight loss, dehydration, acidosis from starvation (ketosis), alkalosis from loss of hydrochloric acid in vomitus, and hypokalemia3/1000 - 1/100Usually occurs in the first trimester between weeks 4 &10Associated abnormalities/ complications includeAbdominal painKetosisMetabolic alkalosisIncre

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