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Hyperemesis Gravidarum

Hyperemesis Gravidarum is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

Hyperemesis gravidarum is the most severe form along the continuum of nausea and vomiting of pregnancy
Also known as pernicious vomiting of pregnancy
Characterized by unexplained intractable vomiting and dehydration
Occurs in 0.3–2% of pregnancies
Diagnosis of exclusion

Etiology

Exact cause unknown
Possible causes include the following:
- Elevated gestational hormone levels of human chorionic gonadotropin (hCG) and/or estradiol
- Thyrotoxicosis
- Upper GI motility dysfunction
- Hepatic abnormalities
- Autonomic nervous system dysfunction
- Psychological factors
- Helicobacter pylori infection
- Genetic predisposition

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Citation

Barkin, Adam Z., et al., editors. "Hyperemesis Gravidarum." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307550/all/Hyperemesis_Gravidarum.

Hyperemesis Gravidarum. In: Barkin AZ, Barkin RM, Hayden SR, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307550/all/Hyperemesis_Gravidarum. Accessed February 19, 2019.

Hyperemesis Gravidarum. (2016). In Barkin, A. Z., Barkin, R. M., Hayden, S. R., Rosen, P., Schaider, J. J., Shayne, P., & Wolfe, R. E. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307550/all/Hyperemesis_Gravidarum

Hyperemesis Gravidarum [Internet]. In: Barkin AZ, Barkin RM, Hayden SR, Rosen P, Schaider JJ, Shayne P, Wolfe RE, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 February 19]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307550/all/Hyperemesis_Gravidarum

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case

TY - ELEC T1 - Hyperemesis Gravidarum ID - 307550 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307550/all/Hyperemesis_Gravidarum PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -