Difference between revisions of "Nausea and vomiting"

(Differential Diagnosis)
Line 4: Line 4:
  
 
==Clinical Features==
 
==Clinical Features==
 +
*Nausea and/or vomiting
 +
*Additional features of underlying process
  
 +
==Complications==
 +
*[[Hypovolemia]]
 +
*[[Metabolic alkalosis]]
 +
*[[Hypokalemia]]
 +
*[[Mallory-Weiss]] (tear)
 +
*[[Boerhaave]] (rupture)
 +
*Aspiration
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
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====GI====
 
====GI====
 
*[[Peptic ulcer disease]]
 
*[[Peptic ulcer disease]]
*Obstruction
+
*[[Bowel obstruction|Obstruction]]
 
**Adhesion
 
**Adhesion
 
**[[Small bowel obstruction]]/LBO
 
**[[Small bowel obstruction]]/LBO
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====Infectious====
 
====Infectious====
*Bacterial toxins
+
*[[Bacteria]]l toxins
 
*[[Pneumonia]]
 
*[[Pneumonia]]
 
*[[SBP]]
 
*[[SBP]]
Line 76: Line 85:
  
 
====Endocrine====
 
====Endocrine====
*[[Pregnancy]]
+
*[[Pregnancy]], [[hyperemesis gravidarum]]
 
*[[Hyponatremia]]
 
*[[Hyponatremia]]
 
*[[Adrenal insufficiency]]
 
*[[Adrenal insufficiency]]
Line 101: Line 110:
 
*APAP, ASA, digoxin levels
 
*APAP, ASA, digoxin levels
 
*[[Urinalysis]]
 
*[[Urinalysis]]
*?Abdominal xray
+
*?[[Abdominal xray]]
 
*?CT
 
*?CT
 
*?[[Ultrasound]]
 
*?[[Ultrasound]]
  
 
==Management==
 
==Management==
 
+
*Treat underlying pathology]]
 +
*Address [[electrolyte derangements]] and [[dehydration]] as needed
 +
*[[Antiemetics]]
  
 
==Disposition==
 
==Disposition==
  
 
==Complications==
 
*[[Hypovolemia]]
 
*[[Metabolic alkalosis]]
 
*[[Hypokalemia]]
 
*[[Mallory-Weiss]] (tear)
 
*[[Boerhaave]] (rupture)
 
*Aspiration
 
  
 
==See Also==
 
==See Also==

Revision as of 23:10, 29 September 2019

This page is for adult patients; for pediatric patients see nausea and vomiting (peds)

Background

Nausea and Vomiting Algorithm

Clinical Features

  • Nausea and/or vomiting
  • Additional features of underlying process

Complications

Differential Diagnosis

Nausea and vomiting

Critical

Emergent

Nonemergent

By organ system

GI

Neurologic

Infectious

Drugs/Toxins

Endocrine

Miscellaneous

Evaluation

Varies widely depending on clinical presentation

Management

Disposition

See Also

External Links

References