A 24-year-old healthy nondiabetic 18 weeks postpartum woman came to the emergency department with complaints of vomiting, severe nausea, and several episodes of diarrhea for the last 10 hours. On arrival, she experienced abdominal pain, lower back cramps, and malaise. Personal history She reported adhering to a strict ketogenic diet as a lifestyle modification for weight loss post-delivery. She exclusively breastfed her son and reported an intentional 24-pound weight loss in the 18-week postpartum period.
She had unremarkable prenatal care and delivered a healthy baby at 40 weeks of gestation by spontaneous vaginal delivery. Social history and diet The patient reported no habitual smoking or alcohol consumption. Her diet included breakfast of eggs and bacon, followed by a vegetable salad with cheese for lunch and vegetables and meat for dinner along with one to three tablespoon of…
