Vomiting Flashcards
1
Q
Vomiting Differential
A
Viral Gastroenteritis (rota, noro) Bacterial Gastroenteritis (ETEC, Shigella, Salmonella, Campy) Parasitic gastroenteritis Food poisoning Gastritis Migraine
2
Q
Vomiting ROS
A
How often comes (pattern) Headache Nausea/ Diarrhea Fever Sick contacts Food intolerance or food allergies Chest pain Last bowel mvmt and character Bloody diarrhea Abd pain (better with bowel mvmt or vomiting) Appetite changes Recent travel
3
Q
Vomiting Exam
A
Hydration status (skin and mucus membranes) Heart and lungs Abd exam (IAPerPalp) Liver and Spleen Neuro exam if headaches -Clench teeth -Scrunch eyes -Smile -Cerebellar -Strength, gait, coordination
4
Q
Vomiting Plan
A
CBC with differential and CMP Stool culture for bacteria Viral antigen test for rotavirus Viral culture for norovirus Stool for ova and parasites
5
Q
OMT for Vomiting
A
Thoracic soft tissue