August 2018 critical care case of the month

Southwest Journal of Pulmonary and Critical Care

Simpson E¹ 

[1] Banner University Medical Center Phoenix, Phoenix, AZ USA;

关键词: hyperemesis gravidarum;    vomiting;    pregnancy;    diagnosis;    hCG;    human chorionic gonadotropin;    thyrotoxicosis;    gestational transient thyrotoxicosis;    treatment;    propylthiouracil;   

DOI  :  10.13175/swjpcc092-18

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. History of Present Illness: A 19-year-old gravida 1, para 0 woman in her early second trimester presented to the Emergency Department with intractable vomiting, green sputum icteric sclerae, chest pain, palpitations and weakness for one week prior to presentation. She was visiting the US from an island in Micronesia. The patient has been experiencing feelings of general malaise since the beginning of her pregnancy: she experienced severe nausea and vomiting throughout her first trimester, and a 4.5 kg weight loss in the 2 months prior to presentation. PMH, SH, FH: Before becoming pregnant, the patient was active and healthy. She does not smoke and her family history is unremarkable. Physical Examination: Physical exam showed a thin, small young woman. Her physical examination showed a tachycardia of 114 and icteric sclera but was otherwise unremarkable. Which of the following should be done? 1. Admit to the hospital with measurement of electrolytes …

【 授权许可】

Unknown