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Nausea and Vomiting in Pregnancy: Hyperemesis Gravidarum vs Nausea and Vomiting of Pregnancy

Diagnosis, Workup and Treatment

#Diagnosis
in Pregnancy: Hyperemesis ... and Vomiting of Pregnancy ... #Diagnosis #Management ... #OBGyn #Obstetrics ... Hyperemesis #Gravidarum #Pregnancy
Typical medications used in the acute phase include nifedipine, labetalol, and hydralazine, with ACOG suggesting that
#Management #Obstetrics ... #Obgyn #Eclampsia ... #Preeclampsia #HTN ... #Pregnancy #Antihypertensives
Pharmacologic Treatment of Hypertensive Emergencies in Pregnancy
Drug - Dose range - Onset/oeak/duration - Side effects
 -
Emergencies in Pregnancy ... , tachycardia, nausea ... Hypertensive #Emergency #Pregnancy ... #Obstetrics #OBGyn ... #HTN #Pharmacology
Emergency Baby Delivery - Equipment Checklist
 • Sterile gloves
 • Sterile scissors
 • 2 Clamps for
Emergency Baby Delivery ... • 2 Clamps for umbilical ... checklist #Emergency #management ... #obstetrics #obgyn ... #baby
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
atony or unsure of cause ... while obtaining OBGYN ... Repeat D&C Ectopic pregnancy ... #Algorithm #obstetrics ... #obgyn
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
uterus above the umbilicus ... Clamp & cut cord, baby ... consider reversible causes ... #Instructions #Obstetrics ... #Emergency #management
Factors that May Affect Fetal Oxygenation - Differential Diagnosis Algorithm

Excessive Uterine Activity:
 • Hyperstimulation
 • Placental
• Post-dates pregnancy ... diabetes mellitus, HTN ... Diagnosis #Algorithm #Causes ... #Obstetrics #OBGyn
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fatty Liver of Pregnancy ... = nonspecific (nausea ... #Fatty #Liver #Pregnancy ... #hepatology #obstetrics ... #obgyn #diagnosis
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy ... related cause ... PO Outpatient OBGYN ... Uterine #Bleeding #Management ... #Obstetrics #Gynecology
Emergency Breech Baby Delivery 
OB able to take patient to the OR?  yes -> C-section
Emergency Breech Baby ... High risk for umbilical ... palpating pulsatile umbilical ... Delivery #Emergency #management ... #obstetrics #obgyn