vomiting Flashcards
1
Q
Give examples of broad causes of vomiting in a child
A
- gastroenteritis
- anatomical problems
- appendicitis
- migraine
- systemic infection (meningitis, pyelonephritis)
- pyloric stenosis
2
Q
what is posseting? when is it normal?
what is a common cause of actual vomiting in the infant?
when would you start to worry about too much vomiting?
A
- effortless, low volume, frequent spills from the mouth
- 1st 6 months of life
- overfeeding
- child not gaining weight
3
Q
what are some particularly worrying features in a vomiting child?
A
- bile-stained vomitus
- blood in the vomit
- drowsiness
- refusal to feed
- malnutrition
- dehydration
4
Q
what is bile stained vomit a sign of?
why might a child vomit in pertussis?
A
- intestinal obstruction, must be investigated urgently
- paroxysmal coughing precipitates vomiting
5
Q
what does blood stained vomiting suggest?
what does vomiting together with constipation suggest?
A
- inflammation go upper GI tract
- intestinal obstruction
6
Q
what is defined as excess milk/ overfeeding for a baby?
A
> 200 ml of milk per kg of body weight
7
Q
what might you suspect if an adolescent is vomiting (particularly females)?
A
- bulimia (they won’t tell you)
- migraine
- gynae causes
8
Q
what is diagnostic of pyloric stenosis on palpation?
A
- olive sign
