Differential Diagnosis for N/V and Pelvic Pain in Pregnancy
Single Most Likely Diagnosis
- Morning Sickness: This is the most common cause of nausea and vomiting (N/V) in pregnancy, often accompanied by mild pelvic discomfort due to implantation or early pregnancy changes. It typically occurs in the first trimester.
Other Likely Diagnoses
- Urinary Tract Infection (UTI): UTIs can cause pelvic pain and may lead to N/V due to the infection or associated pyelonephritis. Pregnancy increases the risk of UTIs due to urinary stasis.
- Ovarian Cyst: Ovarian cysts can cause pelvic pain and, if they rupture or torsion occurs, can lead to severe pain and potentially N/V.
- Preterm Labor: Preterm labor can present with pelvic pain and may be accompanied by N/V. It's a significant concern due to the potential for premature birth.
Do Not Miss Diagnoses
- Ectopic Pregnancy: Although less common, ectopic pregnancy is a life-threatening condition that can present with pelvic pain and N/V. It requires immediate medical attention.
- Placental Abruption: This condition involves the placenta separating from the uterus and can cause severe pelvic pain and N/V. It's an emergency that can threaten both the mother's and fetus's lives.
- Appendicitis: Appendicitis can occur during pregnancy and may present with pelvic pain and N/V. Its diagnosis can be challenging due to the changing anatomy during pregnancy, but it requires prompt surgical intervention.
Rare Diagnoses
- Molar Pregnancy: A rare condition where a non-viable fertilized egg implants in the uterus, leading to severe N/V and pelvic pain due to the rapid growth of the uterus.
- Pregnancy-related Thrombophlebitis: Inflammation of veins due to a blood clot, which can cause pelvic pain and potentially N/V if the clot is large or in a critical location.