Please enable JavaScript.
Coggle requires JavaScript to display documents.
Vomiting 2 days 40 yo male (Other causes (Drugs & toxins, Endocrine,…
Vomiting 2 days
40 yo male
Non-Bloody Vomiting+ Diarrhea
irritation of an unobstructed gut
Infection - gastroenteritis
Inflammatory bowel disease
Irritable bowel syndrome
Toxic: e.g. poisons, organophosphate poisoning
Non-Bloody Vomiting + Constipation ± abdominal distention
gastrointestinal obstruction
Intestinal obstruction
Bilious vomiting suggests obstruction below the ampulla of Vater
In distal IO, constipation is early while vomiting may only occur much later
In proximal IO, vomiting is early and prominent while constipation is late (there may still be passage of stools until all existing gut contents are cleared)
Functional ileus
Gastric outlet obstruction
Non-Bloody Vomiting alone
non-specific vomiting
Intra-abdominalinflammatory process can trigger vomiting
e.g. hepatitis, gallstone disease, pancreatitis, appendicitis.
Neurological
Meningitis
↑ Intracranial pressure
Vestibular causes
Migraine
Hematemesis
ask about contents of vomitus; if bloody, see approach to upper GIT bleeding.
Other causes
Drugs & toxins
Endocrine
Pregnancy ± hyperemesis gravidarum
Cardiac
Psychiatric
Otherinfection