Etymed

hyperemesis gravidarum

hyper- emesis gravidarum

Definition

a severe form of nausea and vomiting during pregnancy that can lead to dehydration and weight loss

Clinical context

A 28-year-old pregnant woman at 12 weeks gestation presents to the emergency department with severe, daily vomiting for the past week. She reports significant weight loss and dizziness when standing. Laboratory studies reveal elevated liver enzymes and ketones in her urine. Her blood pressure is 90/60 mmHg lying and 110/70 mmHg standing, indicating orthostatic hypotension.

Mnemonic

HYPEREMESIS = H (hyponatremia) Y (yellow) P (proteinuria) E (electrolyte imbalance) R (reduced urine output) E (emesis) M (malnutrition) E (electrolyte imbalance) S (serum creatinine elevation)

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