Q:

A pregnant woman of G2, GA 11 weeks presents with heavy vomiting, headache and reduced urine output. Urine analysis shows ketonuria. Choose the next best step?

waelhammad
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2022-11-03
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A pregnant woman of G2, GA 11 weeks presents with heavy vomiting, headache and reduced urine output. Urine analysis shows ketonuria. Choose the next best step?

  1. US
  2. Oral fluid replacement
  3. Serum BHCG
  4. Parental anti-emetics
  5. IV fluids
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waelhammad
2022-11-03
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The key is E. IV fluids. [Hyperemesis gravidarum with oliguria and ketonuria. IV fluid should be started to prevent renal failure].

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