Hyperemesis Gravidarum | Cheat Sheet - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

188

Pages:

4
Author:

Mariam A. A.

Hyperemesis Gravidarum History Could you tell me more about it? Much do you vomit? How often do you vomit? What are the contents of the vomit? Is it forceful? Is it projectile? Is the vomit proceeded by nausea Have you had anything like this before? Has it been getting worse? Does anything make it better or worse? How has it been affecting your life? Associated feature: Fatigue Dehydration Weight loss -> much weight did you lose? Over what period? What was your weight before pregnancy? Headaches Visual changes Changes to heart rate Changes to breathing rate? Muscle weakness Abdominal pain? Changes to urinary habits? Changes to bowel habitus? Menstrual history questions Obstetric history questions Medical history Medications Family history Surgical history Sexual history Examination Findings Vitals Hydration status exam Thyroid exam Abdominal exam Breast exam Abdominal palpation Cardiovascular exam Neurological exam DDx and Investigations Hyperemesis gravidarum – but diagnosis of exclusion UTI Bowel obstruction Pancreatitis Pneumonia Hyperthyroidism Hepatitis Cholecystitis Gastroenteritis Need urinary ketones as part of investigations also get ABG for alkalosis Also need both serum and urine electrolytes as part of investigations Management Anti-emetics Antihistamines Vitamin B6 TPN hydration and nutrition of nasogastric tube feeding Rest Hospitalisation Electrolyte replacement Anti-acids Ginger tablets

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