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Thread: Gastrointestinal Symptoms - Nausea and Vomitting

  1. #1

    Default Gastrointestinal Symptoms - Nausea and Vomitting

    Alarm Symptoms

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    Open-Ended Questions

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    Focused Questions

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    Gastrointestinal Symptoms - Nausea and Vomitting-screen-shot-2016-07-15-at-10-23-53-am-png

    Differential Diagnosis

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    Last edited by Janis.Y.Chen; Fri 15th July '16 at 10:32am.
    Clinical Pharmacy Specialist - Infectious Diseases

  2. #2

    Default Re: Gastrointestinal Symptoms - Nausea and Vomitting

    Diagnostic Approach

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    Clinical Pharmacy Specialist - Infectious Diseases

  3. #3
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    Default Re: Gastrointestinal Symptoms - Nausea and Vomitting

    Differential Diagnosis of Nausea and Vomitting
    Medications and toxic etiologies Infectious causes CNS causes
    Cancer chemotherapy
    • Severe - cisplatinum, dacarbazine, nitrogen mustard
    • Moderate - etoposide, methotrexate, cytarabine
    • Mild - fluorouracil, vinblastine, tamoxifen
    Gastroenteritis
    • Viral
    • Bacterial
    Migraine
    Analgesics
    • Aspirin
    • Nonsteroidal anti-inflammatory drugs
    • Auranofin
    • Antigout drugs
    Nongastrointestinal infections
    • Otitis media
    Increased intracranial pressure
    • Malignancy
    • Hemorrhage
    • Infarction
    • Abscess
    • Meningitis
    • Congenital malformation
    • Hydrocephalus
    • Pseudotumor cerebri
    Cardiovascular medications
    • Digoxin
    • Antiarrhythmics
    • Antihypertensives
    • Beta blockers
    • Calcium channel antagonists
    Seizure disorders
    Diuretics Disorders of the gut and peritoneum Demyelinating disorders
    Hormonal preparations/therapies
    • Oral antidiabetics
    • Oral contraceptives
    Mechanical obstruction
    • Gastric outlet obstruction
    • Small bowel obstruction
    Cranial radiation
    Antibiotics/antivirals
    • Erythromycin
    • Tetracycline
    • Sulfonamides
    • Antituberculous drugs
    • Acyclovir
    Functional gastrointestinal disorders Emotional responses
    Gastrointestinal medications
    • Sulfasalazine
    • Azathioprine
    Gastroparesis Psychiatric disease
    • Psychogenic vomiting
    • Anxiety disorders
    • Depression
    • Pain
    • Anorexia nervosa
    • Bulimia nervosa
    Nicotine Chronic intestinal pseudo-obstruction Labyrinthine disorders
    • Motion sickness
    • Labyrinthitis
    • Tumors
    • Meniere disease
    • Iatrogenic
    • Fluorescein angiography
    CNS active drugs
    • Narcotics
    • Antiparkinsonian drugs
    • Anticonvulsants
    Nonulcer dyspepsia
    Antiasthmatics
    • Theophylline
    Irritable bowel syndrome Endocrinologic and metabolic causes
    Radiation therapy
    • Ethanol abuse
    • Jamaican vomiting sickness
    • Hypervitaminosis
    Organic gastrointestinal disorders
    • Pancreatic adenocarcinoma
    • Inflammatory intraperitoneal disease
    • Peptic ulcer disease
    • Cholecystitis
    • Pancreatitis
    • Hepatitis
    • Crohn disease
    • Mesenteric ischemia
    • Retroperitoneal fibrosis
    • Mucosal metastases
    Pregnancy
    Other endocrine and metabolic
    • Uremia
    • Diabetic ketoacidosis
    • Hyperparathyroidism
    • Hypoparathyroidism
    • Hyperthyroidism
    • Addison's disease
    • Acute intermittent porphyria
    Miscellaneous causes
    Postoperative nausea and vomiting
    Cyclic vomiting syndrome
    Cardiac disease
    • Myocardial infarction
    • Heart failure
    • Radiofrequency ablation of the liver
    Starvation
    Radiation therapy to the upper abdomen and lower chest
    Last edited by admin; Tue 16th May '17 at 3:36pm.
    B.S. Pharm, West China School of Pharmacy, Class of 2007, Health System Pharmacist, RPh. Hematology, Infectious Disease. Chengdu, Sichuan, China.

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