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

Boerhaave

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 disorder


Nonemergent

Gastritis

Gastroparesis

PUD

Gastroenteritis

Biliary colic

Hepatitis

Thyroid

Pregnancy

Erythromycin

Ibuprofen

Chemotherapy

Narcotics/wdwl from

ETOH

UTI

Renal colic

Motion sickness

Labyrinthitis


Source

12/06 DONALDSON (adapted from Rosen)