Nausea and vomiting Flashcards
Which systems can result in nausea and vomiting?
neuro, endocrine, renal, gynae, drugs, GI, cardiac, psychiatric
Provide three examples of neuro induced N/V?
migraine, meningitis, raised ICP, stroke
What are three examples of endocrine associated N/V?
diabetes, DKA, hypercalcaemia, thyroid disorders, addison’s disease
Which drugs can induce N/V?
alcohol, drug SE e.g digoxin, chemo, cannabis
What are GI causes of N/V?
infection, gastritis, obstruction, ileus, ischaemia, cancer
Which blood investigations would you conduct in N/V?
FBC, U&Es, LFTs, CRP, pregnancy test
Which sounds do you hear in bowel obstruction?
Tinkling
What are S&S and investigations for gastroenteritis?
S&S: diarrhoea, vomiting, acute onset, fever, PR bleeding, exposure hx
Inv: blood U&Es, stool culture
S&S and investigations for bowel obstruction?
S&S: abdo pain, n/v, absolute constipation, tinkling bowel sounds, prev surgery
Inv: AXR, CT
S&S + investigations for acute pancreatitis?
S&S: severe epigastric pain, vomiting, gallstone alcohol hx
Inv: amylase + USS/CT
What is hyperemesis gravidarum?
severe and persistent n/v during pregnancy
Name three examples of gynae causes of n/v
pregnancy, ovarian cancer, and hyperemesis gravidarum
Name three examples of neuro causes of n/v
migraine, meningitis, raised ICP
What is cushing’s triad?
HTN, bradycardia, altered respiration
What is Cushing’s triad indicative of?
Raised ICP
