Evaluating Extreme Emesis

Author: Thomas Mac Mahon / Editor: Yasmin Sultan / Codes: / Published: 11/01/2023

A 20-year-old woman presents with nausea and vomiting. She is nine weeks pregnant, with no previous pregnancies. She has been nauseous for the last three weeks, worsening over the last five days, is taking occasional sips of water, and has vomited 8-9 times daily for the last 48 hours.

She had a normal private early pregnancy ultrasound last week. Her blood pressure is 102/68, with a heart rate of 105 beats per minute. She is afebrile. Her mucous membranes are dry. Her abdomen is soft and non-tender. Her urine dipstick shows trace proteinuria. Her weight today is 57kg (usual weight 61kg).

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