Paeds: Vomiting differentials Flashcards
1
Q
Infant
A
- GORD
- Feeding
- Infection
- Dietary protein intolerances
- Intestinal obstruction
- Inborn errors of metabolism
- Congenital adrenal hyperplasia
Renal failure
2
Q
Childhood
A
- Gastroenteritis
- Infection
- Appendicitis
- Intestinal obstruction
- Raised intracranial pressure
- Coeliac disease
- Renal failure
- Inborn errors of metabolism
Torsion of the testis
3
Q
Adolescents
A
- 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
4
Q
Infants common infections
A
- Gastroenteritis
- Respiratory tract/otitis media
- Whooping cough (pertussis)
- UTI
Meningitis
5
Q
Intestinal obstruction
A
- Pyloric stenosis
- Atresia – duodenal, other sites
- Intussusception
- Malrotation
- Volvulus
- Duplication cysts
- Strangulated inguinal hernia
Hisrchsprung disease
6
Q
Bile stained vomit
A
- Exclude intestinal obstruction
7
Q
Blood in vomit
A
Suggest oesophagtis/peptic ulceration/oral or nasal bleeding
8
Q
Projectile vomiting 2-7 weeks of life
A
Pyloric stenosis
9
Q
Infection
A
Are there UTI, CNS infections, GI infection symptoms
10
Q
Abdominal distension
A
Suggests intestinal obstruction
11
Q
Haematemesis
A
Oesophagitis, peptic ulceration, oral/nasal bleeding
12
Q
Vomiting at the end of paroxysmal coughing
A
Whooping cough (pertussis)
13
Q
Abdominal tenderness/abdominal pain on movement
A
Surgical abdomen
14
Q
Hepatosplenomegaly
A
Chronic liver disease
15
Q
Blood in the stool
A
Intussusception
Gastroenteritis – salmonella or campylobacter
