A 28-year-old G1P0 at 14 weeks has severe nausea, unable to tolerate fluids x 3 days, 5% weight loss, urine ketones 3+. TSH 0.1 with mildly elevated

Question

A 28-year-old G1P0 at 14 weeks has severe nausea, unable to tolerate fluids x 3 days, 5% weight loss, urine ketones 3+. TSH 0.1 with mildly elevated fT4. Most appropriate management?

Accepted Answer

IV fluids, antiemetics (ondansetron/dimenhydrinate), and thiamine

Answer

Start PTU for gestational thyrotoxicosis

Answer

Oral ginger capsules

Answer

Total parenteral nutrition

Answer

US to rule out molar pregnancy and start antithyroid medication

Hyperemesis gravidarum — MCCQE Part 1 MCQ

A 28-year-old G1P0 at 14 weeks has severe nausea, unable to tolerate fluids x 3 days, 5% weight loss, urine ketones 3+. TSH 0.1 with mildly elevated fT4. Most appropriate management?