Vomiting resident survival guide: Difference between revisions
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**[[Seizure]] disorders | **[[Seizure]] disorders | ||
**[[Demyelinating]] disorders | **[[Demyelinating]] disorders | ||
*Infectious causes | *'''Infectious causes''' | ||
**[[Gastroenteritis]] | **[[Gastroenteritis]] | ||
**[[Otitis media]] | **[[Otitis media]] | ||
**[[Pseudotumor cerebri]] | **[[Pseudotumor cerebri]] | ||
**[[Acute intermittent porphyria]] | **[[Acute intermittent porphyria]] | ||
*[[Labyrinthine]] disorders | *'''[[Labyrinthine]] disorders''' | ||
**[[Motion sickness]] | **[[Motion sickness]] | ||
**[[Labyrinthitis]] | **[[Labyrinthitis]] | ||
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**[[Meniere's Disease|Meniere’s disease]] | **[[Meniere's Disease|Meniere’s disease]] | ||
**Iatrogenic | **Iatrogenic | ||
*Endocrinological and metabolic causes | *'''Endocrinological and metabolic causes''' | ||
**[[Pregnancy]] | **[[Pregnancy]] | ||
**[[Uremia]] | **[[Uremia]] | ||
| Line 87: | Line 87: | ||
**[[Hyperthyroidism]] | **[[Hyperthyroidism]] | ||
**[[Addison’s disease]] | **[[Addison’s disease]] | ||
*Miscellaneous causes | *'''Miscellaneous causes''' | ||
**Cardiac disease | **Cardiac disease | ||
***[[Myocardial infarction]] | ***[[Myocardial infarction]] | ||
| Line 95: | Line 95: | ||
*Cancer [[chemotherapy]] | *Cancer [[chemotherapy]] | ||
*[[Radiation therapy]] | *[[Radiation therapy]] | ||
*Cardiovascular medications | *'''Cardiovascular medications''' | ||
**[[Digoxin]] | **[[Digoxin]] | ||
**[[Antiarrhythmics]] | **[[Antiarrhythmics]] | ||
| Line 142: | Line 142: | ||
==Do's== | ==Do's== | ||
* | *Encourage patient to keep taking small sips of water frequently so that they don't become dehydrated. | ||
*Recommend patients to take sweet drink such as fruit juice for replacing lost sugar, although they should avoid sweet drinks if those make them feel sick. | |||
*Recommend to have salty snacks, such as crisps, can help replace lost salt. | |||
==Don'ts== | ==Don'ts== | ||
Revision as of 10:53, 4 November 2020
| Vomiting Resident Survival Guide |
|---|
| Overview |
| Causes |
| FIRE |
| Diagnosis |
| Treatment |
| Do's |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rinky Agnes Botleroo, M.B.B.S.
For the WikiDoc page for this topic, click here
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes of vomiting include[1]:
- Head injury
- Bowel obstruction[2]
- Appendicitis[2]
- Meningitis
- Myocardial Infarction
- Brain tumor
- Pancreatitis
Common Causes
Common causes include: [3]
- Gastric outlet obstruction
- Small bowel obstruction
- Irritable bowel syndrome
- Pancreatic adenocarcinoma
- Hepatitis
- Cholecystitis
- Pancreatitis
- Crohn’s disease
- Gastroparesis
- Chronic intestinal pseudo-obstruction
- Post-operative nausea and vomiting
- CNS causes
- Migraine
- Increased intracranial pressure
- Congenital malformation
- Hydrocephalus
- Pseudotumor cerebri
- Seizure disorders
- Demyelinating disorders
- Infectious causes
- Labyrinthine disorders
- Motion sickness
- Labyrinthitis
- Tumors
- Meniere’s disease
- Iatrogenic
- Endocrinological and metabolic causes
- Miscellaneous causes
- Cardiac disease
- Radiofrequency ablation
- Starvation
- Cancer chemotherapy
- Radiation therapy
- Cardiovascular medications
- Antibiotics/Antivirals
- Ethanol Abuse
- Renal infection and renal stone
Diagnosis
Shown below is an algorithm summarizing the diagnosis of Vomiting
| Patient comes with vomiting | |||||||||||||||||||||||||
| Take complete history | |||||||||||||||||||||||||
Ask the following questions about vomiting ❑How long have you had nausea and vomiting? ❑Did your nausea and vomiting occur right after eating? ❑How much have you vomitted? ❑What is the colour of the vomitus? ❑Is there any foul smell of the vomitus? ❑Is there only food particle or any other mucous/substance present with the vomitus? ❑Have you notice any blood streaks mixed with vomitus? | |||||||||||||||||||||||||
Ask the related questions ❑Did your nausea and vomiting occur right after eating? ❑Do you have a fever? ❑Do you take any other medication ❑Have you recently eaten out? ❑Have yu eaten any canned product? ❑Have you suffered from headache or photophobia along with this vomiting? | |||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- Encourage patient to keep taking small sips of water frequently so that they don't become dehydrated.
- Recommend patients to take sweet drink such as fruit juice for replacing lost sugar, although they should avoid sweet drinks if those make them feel sick.
- Recommend to have salty snacks, such as crisps, can help replace lost salt.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Hayes B, Murtagh C, Mann GB (August 2008). "A case of life-threatening nausea and vomiting". J Pain Symptom Manage. 36 (2): 206–10. doi:10.1016/j.jpainsymman.2007.10.022. PMID 18495417.
- ↑ 2.0 2.1 Frese T, Klauss S, Herrmann K, Sandholzer H (February 2011). "Nausea and vomiting as the reasons for encounter in general practice". J Clin Med Res. 3 (1): 23–9. doi:10.4021/jocmr410w. PMC 3194022. PMID 22043268.
- ↑ Scorza K, Williams A, Phillips JD, Shaw J (July 2007). "Evaluation of nausea and vomiting". Am Fam Physician. 76 (1): 76–84. PMID 17668843.