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Babak Jebelli
Babak Jebelli
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Hyperemesis Gravidarum Douglas M Montgomery, MD Kaiser Permanente Riverside Medical Center
Diagnosis ,[object Object],[object Object],[object Object]
Known Associations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnoses Goodwin (1998), Clinical Obstetrics and Gynecology 41(3).
Goodwin (1998), Clinical Obstetrics and Gynecology 41(3).
Maternal Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
1st Line Treatment ,[object Object],[object Object],[object Object],[object Object]
Persistent Weight Loss/Vomiting Drug Choices
Antihistimines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dopamine Receptor Antagonist ,[object Object],[object Object],[object Object]
Side Effects of Dopamine Antagonist ,[object Object],[object Object]
Phenothiazines ,[object Object],[object Object]
Butyrophenones ,[object Object],[object Object]
Benzamides ,[object Object],[object Object]
Serotonin Antagonist ,[object Object]
Quinlan and Hill, Am Fam Physician. 2003 Jul 1;68
APGO/UTD
IV Fluids ,[object Object],[object Object]
Clinically Significant Nutritional Deficiency ,[object Object],[object Object],[object Object],[object Object]
PICC Lines ,[object Object],[object Object],[object Object],AJOG 2008;198:56.e1-56.e4
PICC lines (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Three separate sources recommend: ,[object Object],[object Object],[object Object],UTD 2008 Obstet Gynecol Survey 2008;63 Holmgren  AJOG  2008; 198
Enteral Feeding for Nutritional Support ,[object Object],[object Object],[object Object],[object Object],Obstet Gynecol 1996;88:343-6 Clinical Nutrition 2004;23,53-7 Clinical Nutrition 2001; 20(5): 461-464 AJOG 2008;198:56

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