Hyperemesis gravidarum — DRCOG MCQ

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HardAntenatal CareHyperemesis gravidarumDRCOG

At 10 weeks, a woman vomits eight to ten times daily, has lost 5% of prepregnancy weight and shows clinical dehydration. Other causes have not been identified. What diagnosis best fits?

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Correct answer: A — Hyperemesis gravidarum

The best answer is “Hyperemesis gravidarum”. Hyperemesis gravidarum is severe nausea and vomiting of pregnancy associated with dehydration, weight loss and functional impairment after alternative causes are considered. Ketonuria is not required to diagnose or grade severity; assessment should include electrolytes, nutrition and need for ambulatory or inpatient treatment.

Reference: RCOG Green-top Guideline No. 69: Nausea and vomiting of pregnancy and hyperemesis gravidarum: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/the-management-of-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum-green-top-guideline-no-69/