n/v 🤮

Question 1

4 cardinal signs of intestinal obstruction

Answer 1

1. constipation/obstipation
2. vomiting
3. abdominal pain
4. abdominal distension

Question 2

ddx of vomiting

Answer 2

AGE
IO
GOO
raised ICP
Migraine
Drugs
pregnancy
bulimia
DKA
pancreatitis
appendicitis
uremic/ hepatic encephalopathy

Question 3

assoc sx

Answer 3

diarrhea
constipation
bloating
early satiety
LOA
LOW
pain
headache
dizziness
fever
seizures
trauma
chemotherapy/ anaes meds

Question 4

questions about vomiting to ask?

Answer 4

1. amount
2. frequency
3. content
4. any blood
5. how soon after meal?
6. acute or chronic?

Question 5

what investigations to order?

Answer 5

1. Supine Abdominal X-ray
2. CT scan
3. RFT

Question 6

management?

Answer 6

due to chemo, post op, drugs: metoclopramide HCl (tab, 10mg, tds), granisteron HCl
due to motion sickness: meclozine HCl 25mg + pyridoxine HCl 50mg
symtomatic relief: domperidone 1 tab 10mg (PRN?)
*only precribed if needed
do we need ORS?