N&V, anorexia Flashcards

1
Q

What are the differentials of acute N&V

A

Cardiac

  • ACS - uncommon

Gastrointestinal

  • Duodenal ulcer - H pylori antibody, OGD
  • Gastritis
  • Acute gastroenteritis
  • GORD
  • Chronic post-viral N&V
  • Cholecystitis
  • Obstruction
  • Severe constipation
  • IBS
  • Bacterial peritonitis
  • Acute pancreatitis
  • Malignancy: stomach, ovarian, renal…
  • Pyloric stenosis - children

Neurological

  • Migraine
  • Motion sickness
  • BPPV
  • Stroke
  • Brain tumour
  • Meningitis

Metabolic

  • Hypercalcaemia - Corrected Ca2+ and PTH
  • Uraemia
  • Drug induced

Endocrine

  • Hypothyroidism
  • Hyperthyroidism

Pregnancy

Renal

  • kidney stone - urinalysis, non contrast CT abdo
  • UTI - in children
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