Paeds: Vomiting differentials Flashcards
Infant
- GORD
- Feeding
- Infection
- Dietary protein intolerances
- Intestinal obstruction
- Inborn errors of metabolism
- Congenital adrenal hyperplasia
Renal failure
Childhood
- Gastroenteritis
- Infection
- Appendicitis
- Intestinal obstruction
- Raised intracranial pressure
- Coeliac disease
- Renal failure
- Inborn errors of metabolism
Torsion of the testis
Adolescents
- Gastroenteritis
- Infection
- Peptic ulceration and H.pylori infection
- Appendicitis
- Migraine
- Raised ICP
- Coeliac disease
- Renal failure
- DKA
- Alcohol/drug ingestion or medications
- Cyclical vomiting syndrome
- Bulimia/anorexia nervosa
- Pregnancy
Torsion of the testis
Infants common infections
- Gastroenteritis
- Respiratory tract/otitis media
- Whooping cough (pertussis)
- UTI
Meningitis
Intestinal obstruction
- Pyloric stenosis
- Atresia – duodenal, other sites
- Intussusception
- Malrotation
- Volvulus
- Duplication cysts
- Strangulated inguinal hernia
Hisrchsprung disease
Bile stained vomit
- Exclude intestinal obstruction
Blood in vomit
Suggest oesophagtis/peptic ulceration/oral or nasal bleeding
Projectile vomiting 2-7 weeks of life
Pyloric stenosis
Infection
Are there UTI, CNS infections, GI infection symptoms
Abdominal distension
Suggests intestinal obstruction
Haematemesis
Oesophagitis, peptic ulceration, oral/nasal bleeding
Vomiting at the end of paroxysmal coughing
Whooping cough (pertussis)
Abdominal tenderness/abdominal pain on movement
Surgical abdomen
Hepatosplenomegaly
Chronic liver disease
Blood in the stool
Intussusception
Gastroenteritis – salmonella or campylobacter
Bulging fontanelle or seizures
Raised ICP
Failure to thrive
Gastro=oesophageal reflux, coeliac disease and other chronic gastrointestinal conditions
