Question 272 · LEK · Hyperemesis gravidarum

A 32-year-old woman in 14 week of pregnancy presented with severe nausea and emesis accompanied with weight loss, dyselectrolytemia and elevated transaminases. Which predisposing factors for severe morning sickness in pregnancy (hyperemesis gravidarum) one should consider in differential diagnosis?

1) hyperthyreosis;
2) H. pylori infection;
3) obesity;
4) previous psychiatric disorders;
5) age.
The correct answer is:
  1. A. 1,2.
  2. B. 2,4.
  3. C. 1,2,4.
  4. D. only 2.
  5. E. all the above.
Hint

Look for the endocrine, infectious and psychological factors repeatedly associated with severe vomiting in pregnancy.

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