Nausea and vomiting differential diagnosis: Difference between revisions
Differential diagnosis |
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{{Nausea and vomiting}} | {{Nausea and vomiting}} | ||
==Overview== | ==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. | 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== | ==Differential diagnosis== | ||
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===GI causes=== | ===GI causes=== | ||
==== Inflammatory: ==== | ====[[Inflammatory]]:==== | ||
Esophagitis | [[Esophagitis]] | ||
Gastritis | [[Gastritis]] | ||
Hepatitis | [[Hepatitis]] | ||
Enteritis | [[Enteritis]] | ||
Pancreatitis | [[Pancreatitis]] | ||
==== Obstructive: ==== | ====[[Obstructive]]:==== | ||
Esophageal malignancies | Esophageal [[malignancies]] | ||
Gastric outlet obstruction , may be due to malignancy | [[Gastric outlet obstruction ]] , may be due to[[ malignancy]] | ||
Pyloric stenosis | [[Pyloric stenosis]] | ||
Strangulated | Strangulated [[hernia]]s | ||
Small bowel obstruction due to adhesion, | Small bowel obstruction due to[[ adhesion]],[[ intussusception]] or[[ volvulus]] | ||
Diverticulitis | [[Diverticulitis]] | ||
==== Functional: ==== | ====Functional:==== | ||
Esophageal dysmotility | [[Esophageal dysmotility]] | ||
Achalasia Cardia | [[Achalasia Cardia]] | ||
Gastroparesis due to autonomic dysfunction | [[Gastroparesis]] due to [[autonomic dysfunction]] | ||
Ileus- Hypokalemia | [[Ileus]]-[[ Hypokalemia]] | ||
Ogilvie Syndrome | [[Ogilvie Syndrome]] | ||
=== Non GI causes can be === | ===Non GI causes can be=== | ||
==== CNS causes: ==== | ====CNS causes:==== | ||
Migraine | [[Migraine]] | ||
Pseudotumor cerebri | [[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 | [[Meningitis]] | ||
Space occupying lesions | Space occupying lesions | ||
Labrynthitis | [[Labrynthitis]] | ||
==== Metabolic: ==== | ====Metabolic:==== | ||
Acidosis- | Acidosis- [[DK]]A, [[Lactic acidosis]] | ||
==== Others: ==== | ====Others:==== | ||
Alcoholism | [[Alcoholism]] | ||
Chemotherapy | [[Chemotherapy]]<ref>{{cite journal|doi=10.1002/j.1875-9114.1990.tb02560.x}}</ref> | ||
Opiate therapy | [[Opiate]] therapy | ||
Antibiotics | [[Antibiotics]] | ||
[[Pregnancy]] | |||
[[Sea sickness]] | |||
<br /> | <br /> |
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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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