Nausea and vomiting: Difference between revisions

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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