Nausea and vomiting: Difference between revisions

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''This page is for adult patients; for pediatric patients see [[nausea and vomiting (peds)]]''
{{Adult top}} [[nausea and vomiting (peds)]].''
==Background==
==Background==
[[File:Nausea_and_vomiting.png|thumb|Nausea and Vomiting Algorithm]]
[[File:Nausea_and_vomiting.png|thumb|Nausea and Vomiting Algorithm]]


==Clinical Features==
==Clinical Features==
 
*Nausea and/or vomiting
*Additional features of underlying process


==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==
 
*Depends on cause
*Most non-specific episodes of acute nausea and vomiting may be discharged, if:
**No emergent/urgent cause identified or suspected
**Patient tolerating fluids after treatment


==Complications==
==Complications==
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==External Links==
==External Links==


==References==
==References==

Revision as of 05:59, 14 May 2020

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

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

  • Depends on cause
  • Most non-specific episodes of acute nausea and vomiting may be discharged, if:
    • No emergent/urgent cause identified or suspected
    • Patient tolerating fluids after treatment

Complications

See Also

External Links

References