Nausea and Vomiting

Question 1

feculent vomiting

Answer 1

• obstruction
• fistula
• peritonitis

Question 2

bilious vomiting

Answer 2

• prolonged vomiting

Question 3

vomiting undigested food 4-6 hours later

Answer 3

• pyloric obstruction
• gastroparesis
• achalasia
• Zankers

Question 4

relief of pain with vomiting

Answer 4

• PUD

Question 5

early satiety with vomiting

Answer 5

• gastroparesis
• gastric outlet obstruction
• tumor

Question 6

chronic small volume vomit without weight loss

Answer 6

• psychogenic

Question 7

cyclic vomiting syndrome

Answer 7

• repeated, unpredictable, explosive, and unexplained bouts of vomiting
• episodic in nature with freedom of symptomatology between episodes

Question 8

essential symptoms of cyclic vomiting syndrome

Answer 8

• recurrent bouts of vomiting, symptom free intervals, duration of intervals from hours to days, no identifiable cause

Question 9

supportive symptoms of cyclic vomiting syndrome

Answer 9

• stereotypic pattern, similarity of episodes in timing intensity duration and associated symptoms
• self limited

Question 10

associated symptoms of cyclic vomiting syndrome

Answer 10

• ab pain
• N
• headaches
• motion sickness, low grade fever, pallor, diarrhea, dehydration, salivation, social isolation

Question 11

adverse effect of metaclopramide

Answer 11

• tardive dyskinesia

Question 12

adverse effect of erythromycin

Answer 12

• prolonged QT intervals