Nausea and vomiting differential diagnosis
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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.
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 hernias
Small bowel obstruction due to adhesion, intusussception 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
Meningitis
Space occupying lesions
Labrynthitis
Metabolic:
Acidosis- DKA, Lactic acidosis
Others:
Alcoholism
Chemotherapy
Opiate therapy
Antibiotics