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Obs and Gynae > Hyperemesis Gravidum > Flashcards

Hyperemesis Gravidum Flashcards

1
Q

What makes hyperemesis gravidarum different from normal morning sickness?

A

HG: Perisitent, interferes with fluid intake, volume depletion, electrolyte imbalance, ketosis, >5% weight loss
Normal morning sickness: vomiting <3 times per day

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2
Q

What are some differentials for hyperemesis gravidarum?

A 
Molar pregnancy
Multi gestational pregnancy
Appendicitis
Hyponatraemia
Bowel obstruction
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3
Q

What are some important complications not to miss?

A 
Wernicke's encephalopathy
Mallory Weiss tears
Hyponatremia 
Thrombosis
Depression
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4
Q

How do we treat hyperemesis gravidarum?

A
  1. Correct electrolyte abnormality: IV 0.9% saline plus K
  2. Prophylaxis against complications: folic acid, thiamine, pyridoxine
  3. Anti nausea medication
    - Metroclopramide
    - Cyclazine
    - Ondansetron
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Obs and Gynae (14 decks)

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