25 yr primi 4 months of amenorrhoea has come with generalised weakness ,continuous sweating, continuous nausea and vomiting for past 3 months (on and off).No Fever,chills and rigor.burning micturation and lower abd vage pain.weight has been drastically reduced from 55 kg to 45 kg for past 3 months. Bp-100/60mmhg ,PR- NORMAL. Kindly suggest what treatment and other investigations can be done for this patient.

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ANC with hyperemesis hospitalisation & IV fluids with antiemetic , multivitamins. Hemogram, urine, USG STUDY,,BSR, already investigated. Dramatic weight loss needs to R/ O advise HIV, Hbsag, XCR, physicians opinion SOS

Thanks a lot Dr Majeed sir
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Dr, this looks like hyperemesis with UTI . Admit her give IV fluids,Antibiotics according to culture report. USG abdomen& sr. electrolytes. The wt loss is huge in this pt.Check wt after a week & go for detailed investigation & rule out HIV& TB.

Bcoz of hyperemisis patient is dehydrated ..hospitalise the patient n.p.o 24 hrs .take patient on l.V fluid maintenance..ANTI emetic drugs antibiotics ...iron sucrose ..tramadol and dortaverine...

Hyper emesis gravidarum, needs admission , besides investigations done, serum electrolytes and ketones to be seen in urine and if they are present, potassium can be put in one of the iv fluids which will run very slowly, antiemetics and antacids like digene, b complex especially B6 in iv fluid then patient should be encouraged to have light semi solid food in frequent and small quantities , urine culture should be sent as there are a few pus cells

Next investigation do USG whole abdomen...And ESR is very High it's may be TB abdomen..... But before any conclusion ,do HIV test ....

Hyperemesis gravidarum Admit saline DNS l Confirm pregnancy Urinert culture and sensitivity Colono scopy

Also urine RE does not suggest any UTI Do local examination to r/o local cause for burning micturation Could be Vulvo vaginitis..that also causes burning micturation

It's a case of severe uti , prescribe Antibiotics according to urine culture and sensitivity test,a antiemetic for nausea and vomiting lots of water,multivitamine,may be electrolyte imbalance,correct it

Maam how can you say that it's severe UTI and what about weight loss
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Hyperemesis gravidarum.Give fluids and anti emetics.Get advice of gynaecologist also

Hyperemesis gravidarum Wt loss is not uncommon in first trimester and H.gravidarum adds to at. Loss Get a thyroid profile done to r/o high thyroid levels

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