Snapshot A 22-year-old woman presents to her primary care physican for prenatal care. The patient reports to having menstrual irregularities for the past 4 months. She says that she has been experiencing mild breast tenderness, increased urinary frequency, and that she can feel the baby move. Beyond these symptoms, she denies any headache or galactorrhea. She takes a daily multivitamin and does not take any medications or home remidies. She feels relief for being pregnant due to the amount of pressure her family places on her, emphasizing to her that becoming pregnant will ensure a happy marriage. On physical examination, there is increased pigmentation of the areola and a mildly enlarged abdomen without effacement of the umbilicus. Urine β-hCG is negative. Introduction Clinical definition login to view 2 more bullets Epidemiology Incidence login to view 2 more bullets Demographics login to view 2 more bullets Risk factors login to view 3 more bullets ETIOLOGY Pathophysiology login to view 3 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 2 more bullets Studies Diagnostic criteria login to view 3 more bullets Differential Pregnancy Delusion of pregnancy login to view 1 more bullet Medical conditions such as login to view 3 more bullets Factitious disorder or malingering Treatment Conservative login to view 6 more bullets Complications Patients may become depressed if not appropriately managed Prognosis Natural history of disease login to view 4 more bullets Prognostic variables login to view 2 more bullets