Paeds: Vomiting differentials Flashcards Preview

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Flashcards in Paeds: Vomiting differentials Deck (17):
1

Infant

- GORD
- Feeding
- Infection
- Dietary protein intolerances
- Intestinal obstruction
- Inborn errors of metabolism
- Congenital adrenal hyperplasia
Renal failure

2

Childhood

- Gastroenteritis
- Infection
- Appendicitis
- Intestinal obstruction
- Raised intracranial pressure
- Coeliac disease
- Renal failure
- Inborn errors of metabolism
Torsion of the testis

3

Adolescents

- Gastroenteritis
- Infection
- Peptic ulceration and H.pylori infection
- Appendicitis
- Migraine
- Raised ICP
- Coeliac disease
- Renal failure
- DKA
- Alcohol/drug ingestion or medications
- Cyclical vomiting syndrome
- Bulimia/anorexia nervosa
- Pregnancy
Torsion of the testis

4

Infants common infections

1. Gastroenteritis
2. Respiratory tract/otitis media
3. Whooping cough (pertussis)
4. UTI
Meningitis

5

Intestinal obstruction

- Pyloric stenosis
- Atresia – duodenal, other sites
- Intussusception
- Malrotation
- Volvulus
- Duplication cysts
- Strangulated inguinal hernia
Hisrchsprung disease

6

Bile stained vomit

- Exclude intestinal obstruction

7

Blood in vomit

Suggest oesophagtis/peptic ulceration/oral or nasal bleeding

8

Projectile vomiting 2-7 weeks of life

Pyloric stenosis

9

Infection

Are there UTI, CNS infections, GI infection symptoms

10

Abdominal distension

Suggests intestinal obstruction

11

Haematemesis

Oesophagitis, peptic ulceration, oral/nasal bleeding

12

Vomiting at the end of paroxysmal coughing

Whooping cough (pertussis)

13

Abdominal tenderness/abdominal pain on movement

Surgical abdomen

14

Hepatosplenomegaly

Chronic liver disease

15

Blood in the stool

Intussusception
Gastroenteritis – salmonella or campylobacter

16

Bulging fontanelle or seizures

Raised ICP

17

Failure to thrive

Gastro=oesophageal reflux, coeliac disease and other chronic gastrointestinal conditions

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