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Approach to vomiting - 40yo man vomiting for 2 days. (Metabolic (Acidosis,…
Approach to vomiting - 40yo man vomiting for 2 days.
Iatrogenic
Chemotherapy
Toxic
Alcohol
Illicit drugs
others
Enterotoxin in staph food poisoning
toxin from Bacillus cereus
occur in 1-6 hours after exposure. last 24-48hours
Infectious
Acute onset
Viral GE
GI
Acute: Inflammatory - appendicitis, cholecystitis, pancreatitis
Obstructions
Gastric outlet obstruction - intermittent symptoms
Intestinal - acute and severe pain
Motility
Gastroparesis - insidious onset
Others
GERD, dyspepsia, peptic ulcer disease, Irritable bowel syndrome
CNS
Raised ICP
Neurologic signs
CN dysfunction, long tract signs
Labrytinthus
Infections, Meniere's disease, tumors. cause nausea and vertigo
Migraine
Psychiatric
Emotional and physical stresses
Anorexia nervosa, bulimia nervosa, depression, anxiety
Others
Pregnancy
Metabolic
Acidosis
Uremia
Hyperthroidism
Adrenal disorders
Parathyroid disorders