Nausea and vomiting

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Complications

  1. Hypovolemia
  2. Metabolic alkalosis
  3. Hypokalemia
  4. Mallory-Weiss (tear)
  5. Boerhaave (rupture)
  6. Aspiration

DDX

Critical

  1. Boerhaave
  2. Ischemic bowel
  3. ICH
  4. Meningitis
  5. DKA
  6. AMI
  7. Sepsis

Emergent

  1. Gastric outlet obstruction
  2. Pancreatitis
  3. Cholecystitis
  4. Bowel obstruction/ileus
  5. Ruptured viscus
  6. Appendicitis
  7. Peritonitis
  8. Migraine
  9. CNS tumor
  10. raised ICP
  11. Adrenal insuffciency
  12. Hyperemesis gravidarum
  13. Tylenol
  14. Digoxin
  15. ASA
  16. Theophyline
  17. Gonadal torsion
  18. CO
  19. Electrolyte disorder

Nonemergent

  1. Gastritis
  2. Gastroparesis
  3. PUD
  4. Gastroenteritis
  5. Biliary colic
  6. Hepatitis
  7. Thyroid
  8. Pregnancy
  9. Erythromycin
  10. Ibuprofen
  11. Chemotherapy
  12. Narcotics/wdwl from
  13. ETOH
  14. UTI
  15. Renal colic
  16. Motion sickness
  17. Labyrinthitis

Source

12/06 DONALDSON (adapted from Rosen)