Britt Guest's lecture on pregnancy complications with expert emphasis from Matt Delaney. This preview focuses on differentiating normal pregnancy nausea from hyperemesis gravidarum while demonstrating effective board exam question strategies.
• Normal pregnancy nausea can be managed with pyridoxine (B6), doxalamine, ondansetron, ginger, and eating smaller frequent meals
• Hyperemesis gravidarum causes severe dehydration, weight loss, vitamin deficiencies, and potential complications including Wernicke's encephalopathy
• Severe vomiting can lead to mechanical complications like Mallory-Weiss tears, pneumomediastinum, and pneumothorax
• Treatment escalation includes IV/IM medications and possibly steroids (with caution in first trimester)
• Board-style questions demonstrate proper management of a dehydrated pregnant patient and recognition of molar pregnancy signs
• Matt Delaney demonstrates how to work through unfamiliar terms on exams using clinical reasoning
Check out the full video version with visuals on YouTube - link in the show notes.