Exam 2 - vomiting

Question 1

29 y/o female, with PMH of depression, presents with chronic vomiting wo weight loss

Answer 1

provisional dx: Psychogenic NV

Question 2

44 y/o male, with recent closed head injury, presents with projectile vomiting with out nausea

Answer 2

provisional dx: Increased ICP

Question 3

a 33 y/o male, with no PMH, presents with sudden onset of NV with diffuse abdominal pain and fever, exam found hyperactive bowel sounds

Answer 3

provisional dx: gastroenteritis

Question 4

a 39 y/o male, with PMH of alcohol and drug abuse, presents with multiple episodes of vomiting upon waking in the morning

Answer 4

provisional dx: Excessive alcohol ingestion

Question 5

77 y/o female, with PMH DM and HTN, presents with vomiting of undigested food that occurs in the morning and after large meals

Answer 5

provisional dx: esophageal obstruction and achalasia

Question 6

59 y/o male, with PMH of multiple CV risk factors, presents with nausea for several days and sxs of CHF, exam found gallop rhythm

Answer 6

provisional dx: Hepatic capsule distension and mesenteric congestion