Abstract

IntroductionMany pregnant women develop hyperemesis gravidarum. There are numerous gastrointestinal, genitourinary, neurologic, and metabolic causes to consider in this patient population.Case PresentationThis clinicopathological case presentation details the initial assessment and management of an 18-year-old pregnant patient who presented to the emergency department with a complaint of nausea, vomiting, fatigue, and intermittent bleeding.DiscussionThis case takes the reader through the differential diagnosis and evaluation of the patient and the signs and symptoms, including her agitation and tachycardia, that led us to the correct diagnosis.

Highlights

  • This case takes the reader through the differential diagnosis and evaluation of the patient and the signs and symptoms, including her agitation and tachycardia, that led us to the correct diagnosis. [Clin Pract Cases Emerg Med. 2021;5(4):494–498.]

  • KATIE VANNATTA) An 18-year-old G1P0 female presented to the emergency department (ED) with a chief complaint of nausea, fatigue, and intermittent vaginal bleeding for the prior four days

  • The patient was given an informal diagnosis of hyperemesis gravidarum based on one previous ED visit when she had presented with emesis and was started on metoclopramide

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Summary

The Tired Pregnant Woman

Katie VanNatta, DO, MBA, MS* Nicole Yuzuk, DO† David Trotter, MD, FACEP‡ Brandon Wisinski, DO, MBA, MS§.

Introduction
Discussion
Mean Platelet Volume
Total Bilirubin
Atrial fibrillation present
Need to investigate diagnosis of thyrotoxicosis
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