Nausea and vomiting: Difference between revisions

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==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]]
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====Endocrine====
====Endocrine====
*[[Pregnancy]]
*[[Pregnancy]], [[hyperemesis gravidarum]]
*[[Hyponatremia]]
*[[Hyponatremia]]
*[[Adrenal insufficiency]]
*[[Adrenal insufficiency]]
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*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