Difference between revisions of "Nausea and vomiting"

(Drugs/Toxins)
(Differential Diagnosis)
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==Differential Diagnosis==
 
==Differential Diagnosis==
 +
{{Nausea and vomiting DDX}}
 
===By organ system ===
 
===By organ system ===
 
====GI====
 
====GI====
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*Anorexia/bulimia
 
*Anorexia/bulimia
 
*Depression
 
*Depression
 
===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==
 
==Diagnosis==

Revision as of 03:20, 13 July 2015

Background

Nausea and Vomiting Algorithm

Clinical Features

Differential Diagnosis

Nausea and vomiting

Critical

Emergent

Nonemergent

By organ system

GI

Neurologic

Infectious

  • Bacterial toxins
  • PNA
  • SBP
  • UTI
  • Viruses (adeno, norwalk, rota

Drugs/Toxins

Endocrine

Miscellaneous

Diagnosis

Work-Up

  • CBC
  • Chemistry
  • Urine pregnancy
  • LFTs
  • Lipase
  • APAP, ASA, digoxin levels
  • UA
  • ?Abd xray
  • ?CT
  • ?US

Evaluation

Management

Disposition

Complications

See Also

References