Nausea/vomiting Flashcards
1
Q
Key history in nausea/vomiting
A
Acuity of onset \+/- Abdominal pain Relation to meals Sick contacts Possible food poisoning Possible pregnancy Neurologic symptoms (HA, stiff neck, vertigo, focal numbness or weakness) Urinary symptoms Other symptoms (GI, chest pain) Exacerbating and alleviating factors Medications History of prior abdominal surgery
2
Q
Key physical exam in nausea/vomiting
A
Vital signs ENT exam Consider fundoscopic exam (increased ICP) Complete abdominal exam Consider heart, lung and rectal exams
3
Q
20 yo F with nausea, vomiting (especially in morning), fatigue and polyuria
+ LMP was six weeks ago
+ breast fullness and tenderness
+ sexually active but uses condoms occasionally
A
Pregnancy Gastritis Hypercalcemia DM UTI
Urine hCG, pelvic exam, US - pelvis, CBC, electrolytes, calcium, glucose, UA, urine culture, HIV antibody
