Vomiting resident survival guide: Difference between revisions
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==Do's== | ==Do's== | ||
*Encourage patient to keep taking small sips of water frequently so that they don't become dehydrated. | *Encourage patient to keep taking small sips of water frequently so that they don't become dehydrated.<ref name="urlVomiting in adults | NHS inform">{{cite web | ||
|url=https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/vomiting-in-adults | |||
|title=Vomiting in adults | NHS inform | |||
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*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 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. | *Recommend to have salty snacks, such as crisps, can help replace lost salt. | ||
Revision as of 10:58, 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.[4]
- 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
- Patient who is vomiting continously and also has pasrt medical history of Diabetes corrected with Insulin should consult with their physicians before taking insulin as vomiting alyers blood sugar levels.
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.
- ↑ "Vomiting in adults | NHS inform".