Vomiting

Question 1

What are the causes of persistent vomiting in children?

Answer 1

GORD, pyloric stenosis, malrotation or obstruction, cow’s milk protein allergy, UTI, raised ICP, renal failure, adrenal failure.

Question 2

What are the general investigations for vomiting in children?

Answer 2

1. FBC, U&Es, LFTs, urine dip and MCS
2. Stool MCS
3. USS abdomen, pH studies
4. Endoscopy
5. Metabolic screen
6. MRI head

Question 3

What are the two types of vomiting in a baby?

Answer 3

1. Bilious

2. Non-bilious

Question 4

What are the causes of bilious vomiting in a baby?

Answer 4

Malrotation and intestinal atresia

Question 5

What are the two types of non-bilious vomiting in a baby?

Answer 5

1. Non-projectile

2. Projectile

Question 6

What is the cause of projectile non-bilious vomiting in a baby?

Answer 6

Pyloric stenosis

Question 7

What are the types of non-projectile non-bilious vomiting in a baby?

Answer 7

1. Well

2. Unwell

Question 8

What are the types of non-projectile non-bilious vomiting in a well baby?

Answer 8

1. No signs of raised ICP

2. Signs of raised ICP

Question 9

What are the types of non-projectile non-bilious vomiting in an unwell baby?

Answer 9

1. Diarrhoea

2. No diarrhoea

Question 10

What is the cause of non-projectile non-bilious vomiting well baby with no signs of raised ICP?

Answer 10

Reflux

Question 11

What are the causes of non-projectile non-bilious vomiting well baby with signs of raised ICP?

Answer 11

Space occupying lesion or hydrocephalus

Question 12

What is the cause of non-projectile non-bilious vomiting in an unwell baby with diarrhoea?

Answer 12

Gastroenteritis

Question 13

What are the causes of non-projectile non-bilious vomiting in an unwell baby with no diarrhoea?

Answer 13

Sepsis or meningitis