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Vomiting - Coggle Diagram
Vomiting
Increased ICP:
- morning projectile vomiting
- postional provocation
- headache
- pulsatile tinnitus
- diplopia
Space occupying lesion:
- headache
- focal neurological deficits
- seizures
Oedema:
- Hypotnotraemia
- encephalitis / meningitis
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systemic:
- malignant hypertension
- hypoatraemia
hydrocephalus:
- communicating - overproduction / lack drainage
- space occupying lesion
Idiopathic
- fat, female, forty, fertile
- CSF rhinorrhea
so if they lie down, it will accumulate in the sinus, then all flow out
Constipation
Means Intestinal Obstruction:
- vomiting
- constipation
- bloating
- abdominal pain
once you get IO TRO:
Cancer
Post op ileus
IBD
C.diff
Large Bowel
Megacolon causes:IBD / UC
C.Diff infection
Hirchsprung Appendicitis
- migratory
- anorexia
- nausea and vomiting
- tenderness
- rebound tenderness
- energy / fever
- left shift of neutrophils
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Gastric Outlet - most likely to cause vomitingpresents with:
- early satiety
- bloating post meal
Cancer
RFs - PUD (h pylori and NSAIDs), Pernicious anaemia
FHx important also
Lynch syndrome and putz jaegher
Consti symptoms
Metastasis - ovaries, lung, liver, bone, brain, lymph nodes
Cx:
Bleed
block
burst
burrow
bacteria
PUD:
RFs: NSAIDs, Steroids, Alcohol, H.pylori
Presents with epigastric pain, especially after meal, worsened by spicy and fatty food
5Bs as Cx
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DKA
Fruity Breath
AMS
Abdo pain
Kussmaul Breathing
lethargy, polyuria, polydipsia
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Diarrhoea
Food Poisoning
Food consumed: more left our, poorly prepared food then actual raw food
time frame: 3-12 hours
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Characterise:
colour: red is haematemesis, green / yellow is billious, brown is coffee grounds
Contents: blood, faecal matter
when does it happen?
force of vomiting
TRO mimic: regurg
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Anorexia
Bulimia
Psychiatry kinda stuff
Drugs / substance abuse kinda stuff - potentially alcoholic ketoacidosis
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HPBHepatitis - THx, SHx, needle use, sexual history
- DILI
- autoimmune
- budd chiari
Cholangitis
Charcot's triad:
- Fever
- RUQ pain - radiates to shoulder / scapula
- jaundice
- AMS
- Hypotension
- lying down
Cholecystitis:
Biliary Colic
- episodic pain
- worsened by fatty meal and alcohol
Pancreatitis
- worsens on lying down
- radiating to the back
- pancreatic insufficiency - stetorrhea
- DM, polydipsia, polyuria
- Cx: ARDS, sepsis etc etc
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