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Flashcards in Vomitting Deck (13):
1

What is the medical term for vomitting?

emesis

2

What is vomiting?

the forceful expulsion of gastric contents through the mouth associated with the contraction of the muscles of the abdominal and chest wall.

3

What controls the act of vomiting?

the vomiting and chemoreceptor trigger centres in the brain

4

What are some symptoms associated with vomiting?

- nausea
- dry retching
- haematemesis

5

What is nausea?

the unpleasant feeling of needing to vomit. It often accompanies vomiting but may occur separately from it as well

6

What is dry retching?

Dry retching it the term used when muscular contractions occur without expulsion of gastric contents

7

What is haematemesis?

When a person is vomiting blood.

8

What is regurgitation?

the passive flow of oesophageal contents into the mouth without nausea and the muscular activity associated with vomiting

9

What is a typical associated condition with regurgitation?

- gastro-eosophageal reflux disease

10

What are some common causes of vomiting?

- gastroenteritis
- pregnancy
- medications (especially chemotherapy)
- acute myocardial
- and many more...

11

What are some important questions to ask about vomiting?

- What is the relationship between eating and vomiting?
- What does the patient think is causing the vomiting?

12

What are some cardinal features that are important for vomiting?

- Quality (blood, bile stained)
- Severity (how often? how much?)
- Time course (onset; duration; patterns?; relationship with meals?; first thing in the morning?)
- Context (medication, pregnancy; contact with others who have been vomiting/diarrhoea)
- R/A Factors
- Associated Features (abdo pain; diarrhoea; headache; fever; vertigo; dehydration; weight loss)

13

What is clinical reasoning?

the formulation of a diagnosis based on the features of the presenting problem (pattern recognition) and by gathering information about the patient in order to generate a list of diagnostic hypothesis to be tested.