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December 2020 -
Volume 18, Issue 12

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From the Editor

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Original contribution

Prevalence of thyroid dysfunction among Type 2 Diabetic Patients
[Abstract]
[pdf]
Sami Hassan M. Alfaifi
DOI: 10.5742/MEWFM.2020.93901

Prevalence and risk factors for urinary incontinence among women with diabetes in Taif city, Saudi Arabia
[Abstract]
[pdf]
Basim M. Almalki, Nojood A. Althomali, Sarah A. Alghalbi, Saja A. Al Turkestani,
Amjad N. Alnemari, Shuruq A. Alharthi, Amjad F. Alquthami, Abdulaziz AlFadhly,
Saad AlFayz
DOI: 10.5742/MEWFM.2020.93902

The Side Effects of TICAGRELOR among Saudi Patients and comparison with conventional anti-platelet drug clopidogrel at Aseer Central Hospital, Southwest of Saudi Arabia
[Abstract]
[pdf]
Javed Iqbal Wani, Zia Ul Sabah, Mir Nadeem, Mona Ali Hassan Alshehri, Ahlam Muslih Al Ghamdi, Nojoud Mohammed Alfarhan, Haneen Ahmad Assiri, Adel Masswary
DOI: 10.5742/MEWFM.2020.93903

Nephrectomy indications from a Tertiary Care Center in Abha, Saudi Arabia: The implications of the paradigm shift
[Abstract]
[pdf]
Mishari H.M. Alshyarba
DOI: 10.5742/MEWFM.2020.93905

The effectiveness of alcohol swab in umbilical cord care in Taif city, Saudi Arabia
[Abstract]
[pdf]
Salwa Y. Alhazmi, Amal S. Alfaqeeh, Reem W. Alsuwat, Israa H. Alnemari, Amjad F. Alquthami, Nada S. Alrubaie, Sara S. Alrebaiee, Seham H. Almalki
DOI: 10.5742/MEWFM.2020.93906

Population-level Investigation of the Public Awareness Level Toward Witnessed Seizures in Saudi Arabia
[Abstract]
[pdf]
Mazen Basheikh
DOI: 10.5742/MEWFM.2020.93907

Obstructive sleep apnea and association with poor school performance in primary school children, Taif city, in KSA, 2020
[Abstract]
[pdf]
Abdullah AlKhayat, Rawan A. Althobaiti, Wijdan A. Alshehri, Asalah H. Alkhaldi,
Bashaer A. Alkhaldi, Turki Althobaiti
DOI: 10.5742/MEWFM.2020.93908

Improving albuminuria screening in Type 2 diabetes mellitus patients, at West Bay Health Center, Qatar
[Abstract]
[pdf]
Wafaa Musallam, Salma Elnour, Hani Abdalla, Rehan Ahmed Qasem Sharsheer,
Wafaa Yousuf
DOI: 10.5742/MEWFM.2020.93904

Psychological Impact of Acne Vulgaris among Female Secondary Students in Tabuk City, Saudi Arabia
[Abstract]
[pdf]
Eman Abdullah Aljehani, Saad Algahtani
DOI: 10.5742/MEWFM.2020.93910

The value of honey dressing in the treatment of diabetic foot infections
[Abstract]
[pdf]
Soliman A. Hassan, Muruj A. Aloufi, Sarah A. Sanousi, Sultan A. Alluqmany, Qusai E. Abuzinadah, Walaa J. Alshaikh, Eyad A. Alsadah, Ahmed S. Alsaiari
DOI: 10.5742/MEWFM.2020.93911

Prevalence and risk factors of gastroesophageal reflux disease among female Medical students at Taif University, Saudi Arabia
[Abstract]
[pdf]
Sameer A. Al-Towairqi, Wejdan J. Alharthi, Aisha S. Almalki, Montaha M. Dabi, Rawan A. Althobaiti
DOI: 10.5742/MEWFM.2020.93912

Covid 19 in the region

Perceptions of the Phenomena of Quarantine as Experienced by Saudi Arabian COVID-19 Patients
[Abstract]
[pdf]
Sami Abdulrahman Alhamidi, Seham Mansour Alyousef
DOI: 10.5742/MEWFM.2020.93914

Psychosocial Impact of COVID-19 on Family Physicians in the Kingdom of Saudi Arabia
[Abstract]
[pdf]
Nuha N. Filfilan, Eatezaz Y. Alzhrani, Reham F. Algethamy, Rahaf H. Fattah, Wijdan A. Alshehri, Banan A. Althobaity, Raghad K. Althobaity
DOI: 10.5742/MEWFM.2020.93915

A qualitative examination of quarantine work experience of nurses in Saudi Arabia
[Abstract]
[pdf]
Sami Abdulrahman Alhamidi, Hessa Abdulrahman Almutairi, Seham Mansour Alyousef
DOI: 10.5742/MEWFM.2020.93916

Does it Rain after the Storm? Family medicine resident's reflection at Qatar: Results From a cross sectional study
[Abstract]
[pdf]
Rasha Moussa, Fawziya Alhor, Muna Aseel
DOI: 10.5742/MEWFM.2020.93917

Population and Community Studies

Clinical pattern of tuberculosis in malnourished children in Kassala hospitals, Sudan: A hospital based study
[Abstract]
[pdf]
Alam Eldin Musa Mustafa Musa
DOI: 10.5742/MEWFM.2020.93918

Awareness Level of General Population Regarding Club Foot in Aseer Region, Southern of Saudi Arabia
[Abstract]
[pdf]
Fareed Faya Alfaya,Yahya Mohammed Alqahtani, Khalid Hussein Almutairi, Anas Ali Asiri, Ahmed Hussain Almutlaq, Bander Bin Saleh Alsalmy Asiri, Khalid Mohammed M. Asiri, AbdulRahman Saad Mohammad Alahmari
DOI: 10.5742/MEWFM.2020.93919

Knowledge, Attitude and Practice regarding Diabetic Retinopathy Amongst Diabetic Patients in Aseer Region
[Abstract]
[pdf]
Waleed A Aldhabaan, Yahya Mohammed Alqahtani, Afnan Saeed Muqbil, Amal Abdullah Alqahtani, Khalid Abdullah Alasmari, Hashem Abdullah Alghamdi, Nawaf Amer Alshahrani (2)
DOI: 10.5742/MEWFM.2020.93920

Awareness, attitude, and practice regarding E-cigarettes among students at King Khalid University, Saudi Arabia
[Abstract]
[pdf]
Shehata Farag Shehata, Faisal Awadh M Alqahtani, Abdulbari Ahmed Alzahrani Faris Ahmed Alasmre, Nasser Abdullah N AlGhris, Mohammed Mushabab Al-Mudhi, Ahmed Hussain Almutlaq
DOI: 10.5742/MEWFM.2020.93921

The role of a clinical pharmacist in lifestyle modification in type 2 diabetic patients with peripheral neuropathy in Erbil, Iraq
[Abstract]
[pdf]
Anfal N Al-Mallah, Kawa Dizaye, Nahlah O Tawfiq
DOI: 10.5742/MEWFM.2020.93922

Female medical students are stronger advocates for colorectal cancer screening than their male colleagues
[Abstract]
[pdf]
Ali Farsi, Sonds Alshammakh, Maria Abuhadi, Mai Kadi, Nadim Malibary, Nouf Akeel, Mohammed Basendowah, Abdulaziz Saleem, Ali Samkari, Mohammed Nassif, Nora Trabulsi
DOI: 10.5742/MEWFM.2020.93923

Knowledge and Practice Regarding Infant Feeding of Mothers Attending PHCCs in Abha City, Saudi Arabia
[Abstract]
[pdf]
Hayfa Al-Hefdhi
DOI: 10.5742/MEWFM.2020.93924
Infant feeding questionnaire

Prevalence, risk factors and clinical aspects of Diabetes Mellitus among Saudis in the Western Region. Saudi Arabia: A community based study
[Abstract]
[pdf]
Fathi M. El-Gamal, Hadeel Elshahti, Malath Bukhari, Mohammed Aljohani, Naif Alsifri, Waad Ahmed, Rawan Gaber, Suzan Abulaban, Abdulathim AlHarbi, Sarah Shuailah, Ali Alshikhi
DOI: 10.5742/MEWFM.2020.93925

Colorectal cancer related Knowledge, Attitude, and Practice among adult Saudis in Jeddah city
[Abstract]
[pdf]
Fathi M. El-Gamal, Mohammed Albladi, Rayan Sarhan, Riyadh Almalki, Murad Banafea, Osama Alghamdi
DOI: 10.5742/MEWFM.2020.93926

Depression, the silent killer, a South Asian perspective
[Abstract]
[pdf]
Tabinda Bashir, Mohammed Abdul Haseeb
DOI: 10.5742/MEWFM.2020.93927

Clinical Research and Methods

Myths with diuretics
[Abstract]
[pdf]
Zeeshan Najam Khan
DOI: 10.5742/MEWFM.2020.93928

Endoscopic Septoplasty: Surgical Outcome in Aden, Yemen
[Abstract]
[pdf]
Saleh Mohamed Abobaker Alshaiby
DOI: 10.5742/MEWFM.2020.93929

Education and Training

Communication Skills of Resident Physicians in Aseer region, Saudi Arabia
[Abstract]
[pdf]
Asma Saad Habbash
DOI: 10.5742/MEWFM.2020.93931

The Challenges of Virtual Consultations in Diagnosing Acute Medical Conditions in Primary Care
[Abstract]
[pdf]
Mohammed Abdul Haseeb, Ameer Muhammad Khan, Ali Tajdar Rizvi, Aziz Ur Rehman
DOI: 10.5742/MEWFM.2020.93932

Reviews

Thyroid Nodules: What Family Medicine Doctors Should Know
[Abstract]
[pdf]
Sanjeewa Sumathipala, Rashed Jassim Al Kubaisi
DOI: 10.5742/MEWFM.2020.93933

Intrinsic predictive factors for acute and recurrent lateral ankle sprain in active and athlete population: A systematic review
[Abstract]
[pdf]
Hanaa I. Alkuwari, Maha H. Alnaemi, Sahar S. Almarri, Sherlyn Myka S. Balista
DOI: 10.5742/MEWFM.2020.93934

Sulfonylureas and Mortality Risk
[Abstract]
[pdf]
Omer Farooq Sheikh
DOI: 10.5742/MEWFM.2020.93935

Diabetic Foot Disease and its Management
[Abstract]
[pdf]
Marwa Ahmed
DOI: 10.5742/MEWFM.2020.93937

Economic burden of diabetes care: The economic burden on health systems of low and middle-income African countries
[Abstract]
[pdf]
Almoutaz Aljkhier Ahmed, Nada Najib Almulla
DOI: 10.5742/MEWFM.2020.93939

Case Report
A Case of Hyperemesis Gravidarum
[Abstract]
[pdf]
Marwa Ahmed
DOI: 10.5742/MEWFM.2020.93938

World View

Challenges faced by physicians and patients to provide adequate healthcare to patients, particularly the migrant population
[Abstract]
[pdf]
Mohammed Abdul Haseeb, Tabinda Bashir
DOI: 10.5742/MEWFM.2020.93941



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

December 2020 - Volume 18, Issue 12

A Case of Hyperemesis Gravidarum

Correspondence:
Dr Marwa Ahmed, Consultation family physician,
Primary Health Care Corporation, Qata
rP.O. Box 26555 | Doha | Qatar
Email: marwahmed@phcc.gov.qa

Received: October 2020; Accepted November 2020; Published: December 1, 2020. Citation: Marwa Ahmed. A Case of Hyperemesis Gravidarum. World Family Medicine. 2020; 18(12): 258-263 DOI: 10.5742/MEWFM.2020.93938

Abstract

Case Report

A 24 year old lady, Gravida 2 parity 1, with one previous vaginal delivery recurrently presented to her health center from 7 to 10 weeks gestation with symptoms of nausea and vomiting up to 10 times/day. No prior issues or complications were experienced with her first pregnancy and she was generally fit and well with no known co-morbidities. She was treated with IV fluids and IM anti-emetics when seen (metoclopramide/ prochlorperazine were prescribed on separate occasions to treat her acute symptoms in primary care). This helped to settle her symptoms before she was discharged home from the health center.

Initially at earlier presentations to primary care, vital signs and urine tests were normal but by 10 weeks of gestation (3 weeks after initial presentation) she was found to have 4+ketones and 2+protein in the urine as well as a drop of 3Kg in weight from her pre-pregnancy measurement, and elevated liver enzymes. As a result, she was referred to secondary care.

On admission, laboratory tests showed pancreatic enzymes abnormalities, electrolyte imbalance with low potassium and magnesium levels. These were corrected with IV fluids and IV infusion of magnesium and potassium. She also developed abnormalities in the thyroid function, TSH dropped to 0.01 and free T4 increased to 24.2. The medical team were consulted by the A&E team and their advice was to normalize the electrolyte abnormalities and to observe the thyroid function. A possible outpatient follow-up in the endocrine clinic was suggested, if the abnormality persisted. As the cause was related to the severe vomiting and dehydration, this was not required. Antenatal USS showed a viable pregnancy with fetal growth consistent with the gestational age at 11 weeks. After 10 days, she was discharged home with oral pantoprazole and general advice regarding symptoms management and return if symptoms of nausea and vomiting recurred.

 







 


 

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