A 22-year-old woman, gravida 5 para 0040, at 14+3/7 weeks gestation by 8-week ultrasonography with a history of bipolar disorder and depression presented with complaints of unremitting nausea and vomiting, aggravated by oral intake, for the past few weeks. Upon further questioning, the patient reported intermittent hematemesis, epigastric abdominal pain, and mild diarrhea. However, she denied per vaginal bleeding, leakage of fluid, headache, fever, chills, shortness of breath, palpitations, or dizziness. She was given intravenous (IV) hydration, ondansetron, famotidine, and metoclopramide but continued to vomit.
The patient had mild hypokalemia, which was replaced with IV and oral potassium. She slowly improved throughout her hospital stay and was able to tolerate oral intake by day 6. The patient was diagnosed with hyperemesis gravidarum with mild hypokalemia and discharged with a…
