Nausea and Vomiting Flashcards
Retching
Labored rhythmic respiratory activity that precedes emesis
Labored rhythmic respiratory activity that precedes emesis
Retching
Regurgitation
Gentle expulsion of gastric contents in absence of nausea and abdominal diaphragmatic muscular contraction
Gentle expulsion of gastric contents in absence of nausea and muscular contraction
Regurgitation
Rumination
Regurgitation, Rechewing and Reswallowing food from the stomach
Regurgitation, Rechewing and Reswallowing food from the stomach
Rumination
2 Intraperitoneal DDX for nausea and vomiting
Small bowel obstruction
Gastroparesis
3 Extraperitoneal DDX for nausea and vomiting
Labyrinthine Disease
Intracerebral Disorders
Psychiatric illness
2 Medication/Metabolic DDX for nausea and vomiting
Medications
Pregnancy
What causes Small Bowel Obstructions?
Adhesions
What is the physical exam finding with a Small Bowel Obstruction?
High pitched tinkling bowel sounds
High pitched tinkling bowel sounds can indicate?
Small Bowel Obstruction
An Abdominal X-ray can diagnose a small bowel obstruction. How is it treated?
Nasogastric Tube to suction
– Possibly surgery
Gastroparesis
Delayed gastric emptying
Delayed gastric emptying
Gastroparesis
What 2 endocrine disorders can cause Gastroparesis?
Diabetes Mellitus
Hypothyroidism
If Diabetes Mellitus is causing Gastroparesis, what can prevent the Gastroparesis?
Controlling blood glucose
Important findings in the history for Gastroparesis?
Intermittent postprandial fullness, early satiety
Nausea and vomiting after eating
Physical exam finding with Gastroparesis?
Decreased bowel sounds
What study is used to diagnose Gastroparesis?
Gastric emptying study
With a Gastric Emptying Study, what meal should the patient eat?
Low-fat solid meal like eggs
An Abnormal Gastric Emptying Study results
60% retention after 2 hours OR
> 10% retention after 4 hours
Labyrinthine Disease
Inner ear or CN 8 dysfunction
Meniere Disease
Intracerebral Disorders
Mass
Subarachnoid hemorrhage
Psychiatric illnesses causing nausea and vomiting are diseases of?
Exclusion