Info
🌱 來自: Huppert’s Notes
NauseaVomiting🚧 施工中
Nausea/Vomiting
Differential diagnosis:
• Neuropsychiatric:
- Intracerebral: Increased intracranial pressure (ICP) due to malignancy, hemorrhage, abscess, hydrocephalus
- Labyrinthine: Labyrinthitis, motion sickness, malignancy
- Psychiatric: Anorexia, bulimia nervosa, depression (may be associated with delayed gastric emptying)
• Cardiopulmonary: Myocardial infarction, congestive heart failure (nausea/early satiety can be early symptoms), post-tussive emesis
• Gastrointestinal:
- Obstructive: Pyloric obstruction, SBO, colonic obstruction, SMA syndrome
- Inflammatory: Enteric infections (viral, bacterial), cholecystitis, cholangitis, pancreatitis, appendicitis, hepatitis
- Altered function/functional: Gastroparesis, ileus, pseudo-obstruction, GERD, cyclic vomiting syndrome, cannabinoid hyperemesis syndrome
- Other: Medications, pregnancy, uremia, DKA/HHS, thyroid disease