Vomiting

Last updated 25.08.13

 

Index

 

Definition

-  Forceful expulsion of gastric contents through mouth

 

Causes

-  Post-op

-  Chemo/radiotherapy

-  Medications

-  Opiates: Morphine, Fentanyl..

-  GIT

-  Infection, inflammation

-  Dysentry

-  Gastroenteritis, Paediatric Gastroenteritis

-  Hepatitis

-  Obstruction

-  Mesenteric thrombosis

-  Pancreatic cysts (Pancreatitis)

-  Peritonitis

-  CNS

-  Menieres disease

-  Brain tumour

-  Mostion sickness

-  Acute Angle Closure Glaucoma

-  Renal

-  Urolithiasis

-  Pyelonephritis

-  UTI

-  Testicular torsion

-  Orchitis

-  AMI

-  Pregnancy

-  Hyperemsis Gravidarum

-  Morning Sickness

-  Pneumonia

-  Systemic

-  Adrenal crisis (Addisons Disease)

-  Sepsis

-  Uraemia

-  Hepatic encephalopathy

-  Metabolic

-  Hyper/Hypokalaemia

-  Hyper/hyponatraemia

-  Hypercalcaemia

-  DKA

 

Content

-  Billious (bile)

-  Obstruction distal to Ampulla of Vater: usually small bowel

-  Excreta (faeces)

-  Obstruction usually large bowel

-  Haematemesis (blood)

-  DDx Haemoptysis

-  PUD..

-  Normal gastric contents

-  Phlegm

 

Associated S/S

-  Nausea

-  Abdominal pain, epigastric discomfort

-  Wretching

-  Diarrhoea: gastroenteritis

-  Vertigo/dizziness: CNS

 

Ix

-  U&E

-  LFT

-  +/- Urinalysis: UTI

-  +/- AXR

-  +/- Gastroscopy

 

Mx

-  As per cause

-  Anti-emetics

-  IV fluids