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Headlines:
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Vomiting
Vomiting associated with nausea
This is most frequently due to a cause affecting the chemoreceptor
trigger zone (medulla oblongata).
1. Neurological
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Accompanying neurological
manifestations
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- Migraine
Clinical suspicion: nausea & headache
Diagnosis
- Labyrnthine disorders:
Clinical suspicion: nausea & vertigo
- Cerebral lesion (increase ICT)
Clinical suspicion: blurring of vision, headache, projectile vomiting,
focal neurological manifestations.
2. Metabolic
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Toxic, maybe delirious,
+
Abnormal Labs, pH, electrolytes
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- DKA
- Metabolic acidosis
- Electrolyte abnormalities
- Renal failure
- Hepatic failure
- Hypothyroidism
- Adrenal insufficiency
- Drugs & toxins
- Pregnancy (Morning sickness, hyperemesis gravidarum)
- Food allergy
3. GIT Causes
- Over-eating or drinking too much alcohol
- Many patients experience nausea after eating spoiled food
- Gallstones, gastroenteritis and stomach ulcer may cause nausea
and vomiting
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4. Other Causes
- Motion sickness can be induced by traveling in a vehicle, plane,
or on a boat.
3. Psychogenic
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By exclusion
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Persistent, unexplained, or recurring nausea and vomiting can be
symptoms of a variety of serious illnesses. You should seek medical
assessment if:
- After eating rich or spoiled food or taking a new medication
- Repeatedly or for 48 hours or longer
- Following intense dizziness.
It is important to see a doctor if nausea and vomiting are
accompanied by:
- Jaundice
- Pain in the chest or lower abdomen
- Trouble with swallowing or urination
- Dehydration or extreme thirst
- Drowsiness or confusion
- Constant, severe abdominal pain
- A fruity breath odor
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