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- W2167002109 abstract "A 24-year-old woman, gravida 1, para 1, presented at 12 weeks gestation with abdominal pain, weakness, fatigue, nausea and vomiting of several days duration. Ten days earlier she had been admitted to another hospital with the same complaints; she had been diagnosed as having hyperemesis gravidarum and hospitalised for 3 days, after which she was stabilized. Her medical history was unremarkable and she had no family history of relevant illness. On initial evaluation, she was in rather poor clinical condition and was pigmented to an abnormal degree, particularly around the eyes and in the skin creases of the hands; buccal pigmentation was also pronounced. Blood pressure was 100/60 mmHg, pulse 108 beats/min and body temperature was 38.7°C. Physical examination was unremarkable except for dehydration and hypotension. The laboratory examinations are summarised in the table. The results of urinalysis were: specific gravity 1.016, pH 5, 2+ protein, and urine sediment examination revealed a large number of erythrocytes and leukocytes. The urine contained Gram-negative bacteria.Within two hours, the patient was confused, sweating and tachypnoeic. A repeat …" @default.
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- W2167002109 date "1999-10-01" @default.
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- W2167002109 title "Hypotension and intractable vomiting in the first trimester of pregnancy" @default.
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- W2167002109 doi "https://doi.org/10.1136/pgmj.75.888.623" @default.
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