Hyperemesis Gravidarum in Emergency Medicine Clinical Presentation

Updated: Jan 08, 2016
  • Author: Feras H Khan, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Presentation

History

Nausea and vomiting occur in early pregnancy and are nonresponsive to simple measures, such as reassurance and dietary changes.

Fever and abdominal pain are not characteristic of hyperemesis gravidarum.

If vomiting begins after 9 weeks' gestation, other causes should be investigated.

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Physical

Findings at physical examination may include the following:

  • Weight loss
  • Dehydration: Decreased skin turgor; postural changes in blood pressure (BP) and pulse
  • Abdominal tenderness, fever, and goiter likely indicate another process.
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