gynecology and obstetrics
Hyperemesis Gravidarum
Diagnosis of Hyperemesis Gravidarum
Sometimes serial weight measurements Urine ketones Serum electrolytes and renal function tests Clinicians suspect hyperemesis gravidarum based on symptoms (eg, onset, duration, and frequency of vomiting; exacerbating and relieving factors; type and amount of emesis). Serial weight measurements can support the diagnosis. nitrogen (BUN), creatinine, aspartate aminotransferase (AST), alanine aminotransferase (ALT), magnesium, and phosphorus are measured. Obstetric ultrasonography should be done to rule out Gestational Trophoblastic Disease and check for Other disorders that can cause vomiting must be excluded; they include Overview of Gastroenteritis , Prominent symptoms in addition to nausea and vomiting often suggest another cause. Tests for alternative diagnoses are done based on laboratory, clinical, or ultrasound findings. 