causes of nausea/vomiting n early pregnancy n psychogenic vomiting n bulemia n pyloric channel ulcer...
Post on 23-Dec-2015
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CAUSES OF NAUSEA/VOMITING
Early pregnancy Psychogenic vomiting Bulemia Pyloric channel ulcer Acute gastritis Gastric retention Viral gastroenteritis Acute gastroenteritis
Myocardial infarction Peritonitis Acute obstruction Neurologic
emergency Drug toxicity Cancer therapy Drug withdrawal
HISTORY
Timing of symptoms Relation to meals Associated symptoms Last menstrual period Comorbid conditions Epidemiologic data Drug history
PHYSICAL EXAM
Vital signs Skin HEENT Abdomen Neurologic
LABORATORY
Rule out obstruction and peritonitis HCG Urinalysis Electrolytes, BUN, creatinine, glucose Transaminases, amylase EKG, head CT, upper GI &/or
endoscopy
MANAGEMENT
Phenothiazines– Compazine & Phenergan
Centrally acting non-phenothiazines– Tigan
Vestibular disturbances– Antivert
Motion sickness– Dramamine & Scopolamine
Pregnancy– No approved
Others– Marinol, Zofran, Kytril
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