Vomintig

Question 1

Differentials for vomiting - peads

Question 2

key points vomintg children

Answer 2

Bilious (dark green) vomiting is due to a gastrointestinal obstruction until proven otherwise, and requires urgent surgical referral
In a vomiting child without diarrhoea, consider causes other than gastroenteritis
Intracranial causes eg non-accidental injury (NAI), should always be considered
Ondansetron can be used for symptomatic relief, however cessation of vomiting does not exclude a serious cause

Infection is the most common cause of acute vomiting
Bilious vomiting occurs when there is a gastrointestinal obstruction. Bile is dark green rather than yellow. Using a visual aid to clarify vomitus colour with families is helpful

https://www.rch.org.au/uploadedImages/Main/Content/clinicalguide/guideline_index/differential_diagnoses.png

Question 3

hx and exam vomiting peads

Answer 3

https://www.rch.org.au/clinicalguide/guideline_index/Vomiting/

Question 4

mng and tx vomitng peads

Answer 4

https://www.rch.org.au/clinicalguide/guideline_index/Vomiting/

Question 5

GOR in children

Answer 5

https://www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/