Nausea and vomiting differential diagnosis: Difference between revisions
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==Overview== | |||
Differential diagnosis of vomiting may be a result of a range of causes, including GI (obstructive and inflammatory) etiologies, CNS disease, pulmonary problems, renal disease, endocrine/metabolic disorders, drugs (either as side effects or in over dosages), psychiatric disorders, strep throat, pregnancy or stress.<ref name="pmid17668843">{{cite journal |vauthors=Scorza K, Williams A, Phillips JD, Shaw J |title=Evaluation of nausea and vomiting |journal=Am Fam Physician |volume=76 |issue=1 |pages=76–84 |date=July 2007 |pmid=17668843 |doi= |url=}}</ref> | |||
==Differential diagnosis== | |||
The causes of nausea and vomiting can be differentiated as GI and Non GI causes: | |||
===GI causes=== | |||
====[[Inflammatory]]:==== | |||
[[Esophagitis]] | |||
[[Gastritis]] | |||
[[Hepatitis]] | |||
[[Enteritis]] | |||
[[Pancreatitis]] | |||
====[[Obstructive]]:==== | |||
Esophageal [[malignancies]] | |||
[[Gastric outlet obstruction ]] , may be due to[[ malignancy]] | |||
[[Pyloric stenosis]] | |||
Strangulated [[hernia]]s | |||
Small bowel obstruction due to[[ adhesion]],[[ intussusception]] or[[ volvulus]] | |||
[[Diverticulitis]] | |||
====Functional:==== | |||
[[Esophageal dysmotility]] | |||
[[Achalasia Cardia]] | |||
[[Gastroparesis]] due to [[autonomic dysfunction]] | |||
[[Ileus]]-[[ Hypokalemia]] | |||
[[Ogilvie Syndrome]] | |||
===Non GI causes can be=== | |||
====CNS causes:==== | |||
[[Migraine]] | |||
[[Pseudotumor cerebri]]<ref name="pmid14724837">{{cite journal |vauthors=Hasler WL, Chey WD |title=Nausea and vomiting |journal=Gastroenterology |volume=125 |issue=6 |pages=1860–7 |date=December 2003 |pmid=14724837 |doi=10.1053/j.gastro.2003.09.040 |url=}}</ref> | |||
[[Meningitis]] | |||
Space occupying lesions | |||
[[Labrynthitis]] | |||
====Metabolic:==== | |||
Acidosis- [[DK]]A, [[Lactic acidosis]] | |||
====Others:==== | |||
[[Alcoholism]] | |||
[[Chemotherapy]]<ref>{{cite journal|doi=10.1002/j.1875-9114.1990.tb02560.x}}</ref> | |||
[[Opiate]] therapy | |||
[[Antibiotics]] | |||
[[Pregnancy]] | |||
[[Sea sickness]] | |||
<br /> | |||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Needs content]] | [[Category:Needs content]] |
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Overview
Differential diagnosis of vomiting may be a result of a range of causes, including GI (obstructive and inflammatory) etiologies, CNS disease, pulmonary problems, renal disease, endocrine/metabolic disorders, drugs (either as side effects or in over dosages), psychiatric disorders, strep throat, pregnancy or stress.[1]
Differential diagnosis
The causes of nausea and vomiting can be differentiated as GI and Non GI causes:
GI causes
Inflammatory:
Obstructive:
Esophageal malignancies
Gastric outlet obstruction , may be due tomalignancy
Strangulated hernias
Small bowel obstruction due toadhesion,intussusception orvolvulus
Functional:
Gastroparesis due to autonomic dysfunction
Non GI causes can be
CNS causes:
Space occupying lesions
Metabolic:
Acidosis- DKA, Lactic acidosis
Others:
Opiate therapy
References
- ↑ Scorza K, Williams A, Phillips JD, Shaw J (July 2007). "Evaluation of nausea and vomiting". Am Fam Physician. 76 (1): 76–84. PMID 17668843.
- ↑ Hasler WL, Chey WD (December 2003). "Nausea and vomiting". Gastroenterology. 125 (6): 1860–7. doi:10.1053/j.gastro.2003.09.040. PMID 14724837.
- ↑ . doi:10.1002/j.1875-9114.1990.tb02560.x. Missing or empty
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