Difference between revisions of "Nausea and vomiting"

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{{Adult top}} [[nausea and vomiting (peds)]].''
 
==Background==
 
==Background==
 
[[File:Nausea_and_vomiting.png|thumb|Nausea and Vomiting Algorithm]]
 
[[File:Nausea_and_vomiting.png|thumb|Nausea and Vomiting Algorithm]]
  
 
==Clinical Features==
 
==Clinical Features==
 +
*Nausea and/or vomiting
 +
*Additional features of underlying process
  
== DDX by organ system ==
+
==Differential Diagnosis==
===GI===
+
{{Nausea and vomiting DDX}}
 +
 
 +
===By organ system===
 +
====GI====
 
*[[Peptic ulcer disease]]
 
*[[Peptic ulcer disease]]
*Obstruction
+
*[[Bowel obstruction|Obstruction]]
 
**Adhesion
 
**Adhesion
 
**[[Small bowel obstruction]]/LBO
 
**[[Small bowel obstruction]]/LBO
 +
***[[SMA syndrome]]
 
**Gastric outlet obstruction
 
**Gastric outlet obstruction
 +
**[[Gastric volvulus]]
 +
**[[Bezoar]]
 
*[[Pancreatitis]]
 
*[[Pancreatitis]]
*Gastroparesis
+
*[[Gastroparesis]]
 
*[[Appendicitis]]
 
*[[Appendicitis]]
 
*[[Cholecystitis]]
 
*[[Cholecystitis]]
 
*[[Cholangitis]]
 
*[[Cholangitis]]
 
*[[Acute Hepatitis]]
 
*[[Acute Hepatitis]]
*IBD
+
*[[IBD]]
 
*[[Intussusception]]
 
*[[Intussusception]]
 
*Tumor
 
*Tumor
*Strangulated hernia
+
*Strangulated [[hernia]]
 
*[[Volvulus]]
 
*[[Volvulus]]
 
*[[Mesenteric ischemia]]
 
*[[Mesenteric ischemia]]
*Esophageal disorders (e.g. achalasia)
+
*Esophageal disorders (e.g. [[achalasia]])
 
*Functional disorders
 
*Functional disorders
 
**Psychogenic
 
**Psychogenic
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*[[Pyloric Stenosis]]
 
*[[Pyloric Stenosis]]
  
===Neurologic===
+
====Neurologic====
*Head injury
+
*[[Head injury]]
 
*[[CVA]]
 
*[[CVA]]
*Pseudotumor
+
*[[Idiopathic intracranial hypertension]]
*Hydrocephalus
+
*[[Hydrocephalus]]
*Mass lesion
+
*[[Intracranial mass|Mass lesion]]
 
*[[Meningitis]]
 
*[[Meningitis]]
*Migraines
+
*[[Migraine]]
 
*[[Labyrinthitis]]
 
*[[Labyrinthitis]]
*Meniere disease
+
*[[Meniere's disease]]
*Motion sickness
+
*[[Motion sickness]]
 
*[[Cannabinoid hyperemesis syndrome]]
 
*[[Cannabinoid hyperemesis syndrome]]
  
===Infectious===
+
====Infectious====
*Bacterial toxins
+
*[[Bacteria]]l toxins
*[[PNA]]
+
*[[Pneumonia]]
 
*[[SBP]]
 
*[[SBP]]
 
*[[UTI]]
 
*[[UTI]]
*Viruses (adeno, norwalk, rota
+
*Viruses ([[adenovirus]], [[norovirus]], [[rotavirus]])
===Drugs/Toxins===
+
 
 +
====Drugs/Toxins====
 
*Toxic doses
 
*Toxic doses
**Digoxin
+
**[[Digoxin toxicity]]
**ASA
+
**[[Aspirin toxicity]]
**APAP
+
**[[Acetaminophen toxicity]]
*NSAIDs
+
**[[Ipecac toxicity]]
*Opiates
+
*[[NSAIDs]]
*ETOH
+
*[[Opioids]]
*Anticonvulsants
+
*[[Alcohol]]
*Abx
+
*[[Anticonvulsants]]
*Antiarrhythmics
+
*[[Antibiotics]]
 +
*[[Antiarrhythmics]]
 
*Toxins
 
*Toxins
**Organophosphates
+
**[[Organophosphates]]
**CO
+
**[[Carbon monoxide]]
**Ricin
+
**[[Ricin]]
===Endocrine===
+
*[[Acute radiation syndrome]]
*Pregnancy
+
 
 +
====Endocrine====
 +
*[[Pregnancy]], [[hyperemesis gravidarum]]
 
*[[Hyponatremia]]
 
*[[Hyponatremia]]
*Adrenal insufficiency
+
*[[Adrenal insufficiency]]
 
*[[DKA]]
 
*[[DKA]]
*Thyroid/parathyroid disorders
+
*[[Thyroid]]/parathyroid disorders
 
*[[Uremia]]
 
*[[Uremia]]
  
===Miscellaneous===
+
====Miscellaneous====
 
*[[ACS]]
 
*[[ACS]]
*Gonadal torsion
+
*[[Ovarian torsion|ovarian]]/[[testicular torsion]]
 
*[[Nephrolithiasis]]
 
*[[Nephrolithiasis]]
 
*Pain
 
*Pain
*Acute glaucoma
+
*[[Acute angle-closure glaucoma]]
*Anorexia/bulimia
+
*[[Anorexia nervosa]]/[[bulimia nervosa]]
*Depression
+
*[[Depression]]
 
 
==DDx by Severity==
 
=== Critical ===
 
*[[Esophageal Perforation|Boerhaave's]]
 
*Ischemic bowel
 
*[[ICH]]
 
*[[Meningitis]]
 
*[[DKA]]
 
*[[AMI]]
 
*[[Sepsis]]
 
 
 
=== Emergent ===
 
*Gastric outlet obstruction
 
*[[Pancreatitis]]
 
*[[Cholecystitis]]
 
*Bowel obstruction/ileus
 
*Ruptured viscus
 
*[[Appendicitis]]
 
*Peritonitis
 
*Migraine
 
*CNS tumor
 
*raised ICP
 
*Adrenal insuffciency
 
*Hyperemesis gravidarum
 
*Tylenol
 
*Digoxin
 
*ASA
 
*Theophyline
 
*Gonadal torsion
 
*CO
 
*[[Electrolyte Disorders]]
 
===Nonemergent===
 
*[[Gastritis]]
 
*Gastroparesis
 
*PUD
 
*Gastroenteritis
 
*Biliary colic
 
*Hepatitis
 
*Thyroid
 
*Pregnancy
 
*Erythromycin
 
*Ibuprofen
 
*Chemotherapy
 
*Narcotics/wdwl from
 
*ETOH
 
*UTI
 
*Renal colic
 
*Motion sickness
 
*Labyrinthitis
 
  
==Diagnosis==
+
==Evaluation==
===Work-Up===
+
''Varies widely depending on clinical presentation''
 
*CBC
 
*CBC
 
*Chemistry
 
*Chemistry
 
*Urine pregnancy
 
*Urine pregnancy
*LFTs
+
*[[LFTs]]
 
*Lipase
 
*Lipase
 
*APAP, ASA, digoxin levels
 
*APAP, ASA, digoxin levels
*UA
+
*[[Urinalysis]]
*?Abd xray
+
*?[[Abdominal xray]]
 
*?CT
 
*?CT
*?US
+
*?[[Ultrasound]]
 
 
===Evaluation==
 
  
 
==Management==
 
==Management==
 +
*Treat underlying pathology
 +
*Address [[electrolyte derangements]] and [[dehydration]] as needed
 +
*[[Antiemetics]]
  
 
==Disposition==
 
==Disposition==
 +
*Depends on cause
 +
*Most non-specific episodes of acute nausea and vomiting may be discharged, if:
 +
**No emergent/urgent cause identified or suspected
 +
**Patient tolerating fluids after treatment
  
== Complications ==
+
==Complications==
*Hypovolemia
+
*[[Hypovolemia]]
*Metabolic alkalosis
+
*[[Metabolic alkalosis]]
*Hypokalemia
+
*[[Hypokalemia]]
*Mallory-Weiss (tear)
+
*[[Mallory-Weiss]] (tear)
*Boerhaave (rupture)
+
*[[Boerhaave]] (rupture)
 
*Aspiration
 
*Aspiration
  
== Peds ==
+
==See Also==
 +
*[[Nausea and vomiting (peds)]]
  
{| cellspacing="1" cellpadding="3" border="0" bgcolor="*666666" width="100%"
+
==External Links==
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" colspan="2" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | '''Newborn''' 
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Obstructive intestinal anomalies
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Esophageal stenosis/atresia, pyloric stenosis, intestinal stenosis/atresia, malrotation ± volvulus, incarcerated hernia, meconium ileus/plug, Hirschsprung disease, imperforate anus, enteric duplications
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Neurologic
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Intracranial bleed/mass, hydrocephalus, cerebral edema, kernicterus
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Renal
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Urinary tract infection, obstructive uropathy, renal insufficiency
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Infectious
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Viral illness, gastroenteritis, meningitis, sepsis
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Metabolic/endocrine
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Inborn errors of metabolism (urea cycle, amino/organic acid, carbohydrate), congenital adrenal hyperplasia
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Miscellaneous
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Ileus, gastroesophageal reflux, necrotizing enterocolitis, milk allergy, GI perforation
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" colspan="2" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | '''Infant (<12 mo)'''&nbsp;
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Obstructive intestinal anomalies
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Pyloric stenosis, malrotation ± volvulus, incarcerated hernia, Hirschsprung disease, enteric duplications, intussusception, foreign body, bezoars, Meckel diverticulum
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Neurologic
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Intracranial bleed/mass, hydrocephalus, cerebral edema
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Renal
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Urinary tract infection, obstructive uropathy, renal insufficiency
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Infectious
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Viral illness, gastroenteritis, meningitis, sepsis, otitis media, pneumonia, pertussis, hepatitis
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Metabolic/endocrine
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Inborn errors of metabolism, adrenal insufficiency, renal tubular acidosis
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Miscellaneous
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Ileus, gastroesophageal reflux, post-tussive, peritonitis, drug overdose
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | '''Child (>12 mo)'''&nbsp;
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | &nbsp;
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Obstructive intestinal anomalies
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Malrotation ± volvulus, incarcerated hernia, Hirschsprung disease, intussusception, foreign body, bezoars, Meckel diverticulum, acquired esophageal stricture, peptic ulcer disease, adhesions, superior mesenteric artery syndrome
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Neurologic
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Intracranial bleed/mass, cerebral edema, postconcussive, migraine
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Renal
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Urinary tract infection, obstructive uropathy, renal insufficiency
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Infectious
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Viral illness, gastroenteritis, meningitis, sepsis, otitis media, pneumonia, hepatitis, streptococcal pharyngitis
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Metabolic/endocrine
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Inborn errors of metabolism, adrenal insufficiency, renal tubular acidosis, diabetes mellitus, Reye syndrome, porphyria
 
|- class="font12" style="font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; "
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Miscellaneous
 
| valign="top" bgcolor="*ffffff" class="font12" align="left" style="color: rgb(51, 51, 51); font-size: 12px; line-height: 17px; margin-top: 0px; margin-bottom: 9px; margin-left: 0px; margin-right: 0px; " | Ileus, gastroesophageal reflux, post-tussive, peritonitis, drug overdose, appendicitis, pancreatitis, gastritis, Crohn disease, pregnancy, psychogenic, cyclic vomiting syndrome
 
|}
 
 
 
==See Also==
 
  
== References ==
+
==References==
 +
<references/>
  
 
[[Category:GI]]
 
[[Category:GI]]
[[Category:Peds]]
+
[[Category:Symptoms]]

Latest revision as of 05:59, 14 May 2020

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

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

  • Depends on cause
  • Most non-specific episodes of acute nausea and vomiting may be discharged, if:
    • No emergent/urgent cause identified or suspected
    • Patient tolerating fluids after treatment

Complications

See Also

External Links

References