Nausea and vomiting differential diagnosis

Overview

Differential diagnosis of vomiting may be a result of a range of causes, including GI (obstructive and inflammatory) etiologies, CNS disease, pulmonary problems, renal disease, endocrine/metabolic disorders, drugs (either as side effects or in over dosages), psychiatric disorders, strep throat, pregnancy or stress.^[1]

Differential diagnosis

The causes of nausea and vomiting can be differentiated as GI and Non GI causes:

GI causes

Inflammatory:

Obstructive:

Esophageal malignancies

Gastric outlet obstruction , may be due tomalignancy

Pyloric stenosis

Strangulated hernias

Small bowel obstruction due toadhesion,intussusception orvolvulus

Diverticulitis

Functional:

Esophageal dysmotility

Achalasia Cardia

Gastroparesis due to autonomic dysfunction

Ileus–Hypokalemia

Ogilvie Syndrome

Non GI causes can be

CNS causes:

Migraine

Pseudotumor cerebri^[2]

Meningitis

Space occupying lesions

Labrynthitis

Metabolic:

Acidosis- DKA, Lactic acidosis

Others:

Opiate therapy

References

↑ Scorza K, Williams A, Phillips JD, Shaw J (July 2007). “Evaluation of nausea and vomiting”. Am Fam Physician. 76 (1): 76–84. PMID 17668843.
↑ Hasler WL, Chey WD (December 2003). “Nausea and vomiting”. Gastroenterology. 125 (6): 1860–7. doi:10.1053/j.gastro.2003.09.040. PMID 14724837.
↑ . doi:10.1002/j.1875-9114.1990.tb02560.x. Missing or empty |title= (help)

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[pmid17668843-1] Scorza K, Williams A, Phillips JD, Shaw J (July 2007). “Evaluation of nausea and vomiting”. Am Fam Physician. 76 (1): 76–84. PMID 17668843.

[pmid14724837-2] Hasler WL, Chey WD (December 2003). “Nausea and vomiting”. Gastroenterology. 125 (6): 1860–7. doi:10.1053/j.gastro.2003.09.040. PMID 14724837.

[3] . doi:10.1002/j.1875-9114.1990.tb02560.x. Missing or empty |title= (help)

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