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Re: hyperemesis caseFrom: H.Fehmi Yazıcıoğlu (hfy@turk.net)Sat Oct 28 13:45:55 2000
At Sat, 28 Oct 2000, ginny lee BSN, GNM wrote: > >G3P0020, the 2 previous pregnancies ended in SABs at ~8 weeksMedical >history remarkable for type I diabetes, onset at age 9 (currently 22 >yo). History of N/V, unable to keep anything down for ~3 days, hospital >day 9 now. Wt. loss initially ~10 lbs current wt 148, up 5 lbs from >day of admission. Able to eat over the past weekend, but currently with >vomiting not responding to Zofran, Phenergan. IVF with MVI qd, had >endocrine consult/being comanaged with ob/endocrine. Blood sugars >labile 60->200, covered with NPH bid and humalog prn. Currently NPO due >to increased vomiting when eating yesterday. Lytes/CBC wnl, except low >K+ >Considering TPN if things don't improve. What has been the experience >of the listers with hyperemesis? Doesn't have to be research-based, >anecdotal is fine (I think this woman would do just about anything to >feel better!)Thanks >aloha' >ginny Ginny, Maybe a course of corticosteroids is indicated. But you may face some difficulties in maintaining euglicemic status during corticosteroid therapy. Further, a check for masked hyperthyroidism might yield some necessary information. Good luck!!
-- H.Fehmi Yazıcıoğlu, Clinical Chief of Staff, Süleymaniye Maternity Hospital Istanbul,Turkey
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