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Is there fever? The presence of fever should suggest scarlet fever, measles, malaria, leptospirosis, yellow fever, and other acute and chronic infectious diseases.
Is there a history of ingestion of poison, drugs, or alcohol? Poison ... DIAGNOSTIC WORKUP
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Is there a history of alcohol or drug ingestion? Alcohol and many drugs such as digitalis, aspirin, nonsteroidal anti-inflammatory agents, antihypertensives, and antibiotics may cause gastric irritation or gastritis. ... DIAGNOSTIC WORKUP
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Vomiting is an involuntary forceful extrusion of stomach contents. It is a mediated by a complex reflex that is located in the vomiting center of the medulla oblongata. Reflex vomiting results when afferent fibers of the inner ear, meninges, or gastrointestinal tract fire; central... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hematemesis refers to vomiting of clots, fresh blood, or “coffee grounds” and generally represents bleeding from the upper GI tract (i.e., proximal to the ligament of Treitz). May be associated with black, tarry stools (melena). The spectrum of upper GI... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hematemesis or blood in emesis can occur as recent or ongoing hemorrhage proximal to the ligament of Treitz. Hematemesis is relatively uncommon in the pediatric population, and its overall occurrence in an ambulatory setting has not been reported. The most common... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Vomiting is the forceful expulsion of gastric contents through the mouth that involves an integrated and largely somatic motor response. It represents a protective reflex in the body's defense system. Vomiting may be an initial symptom of an underlying condition or a... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Projectile vomiting is the forceful expulsion of stomach contents classically associated with pyloric stenosis. Although pyloric stenosis is one cause, there are many other causes inside and outside the GI tract.
Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... These two should be considered together, because nausea is just a forme fruste of vomiting. This symptom lends itself well to anatomic analysis, particularly by the target method illustrated on page 380. The focus should be
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... Hematemesis means vomiting or regurgitation of frank bright red blood or coffee-ground material that is positive for occult blood. It may be differentiated from hemoptysis because it usually gives an acidic reaction to nitrazine paper. It may be swallowed blood from any
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... Hematemesis, the vomiting of blood, usually indicates GI bleeding above the ligament of Treitz, which suspends the duodenum at its junction with the jejunum. Bright red or blood-streaked vomitus indicates fresh or recent bleeding. Dark red, brown, or black vomitus (the color and consistency of... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Nausea is a sensation of profound revulsion to food or of impending vomiting. Typically accompanied by autonomic signs, such as hypersalivation, diaphoresis, tachycardia, pallor, and tachypnea, it’s closely associated with anorexia and vomiting.
... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis.
A common sign of GI... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Central Nervous System Disorders
Increased intracranial pressure
Head trauma
Central nervous system neoplasms
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... Hematemesis, the vomiting of blood, usually indicates GI bleeding above the ligament of Treitz, which suspends the duodenum at its junction with the jejunum. Bright red or blood-streaked vomitus indicates fresh or recent bleeding. Dark red, brown, or black vomitus (the color and... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Nausea is a sensation of profound revulsion to food or of impending vomiting. Often accompanied by autonomic signs, such as hypersalivation, diaphoresis, tachycardia, pallor, and tachypnea, it’s closely associated with both anorexia and vomiting.
Nausea, a... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis.
A common sign of GI disorders,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Eric M. Walsh
Approach Nausea and vomiting are common presenting complaints in office practice. An effective diagnostic approach will consider causes both within the gastrointestinal (GI) system, and systemic causes (1–3), as well as paying special... History. ... Physical examination. ... Testing. ... Diagnostic assessment
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... Differential Overview
Presenting Symptom
❑ Gastroesophageal reflux
❑ Pregnancy
❑ Psychogenic
❑ Bulimia ... Diagnostic Approach ... Clinical Findings
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... Hematemesis, the vomiting of blood, usually indicates GI bleeding above the ligament of Treitz, which suspends the duodenum at its junction with the jejunum. Bright red or blood-streaked vomitus indicates fresh or recent bleeding. Dark red, brown, or black vomitus (the... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis.
A common sign... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Hematemesis, the vomiting of blood, usually indicates GI bleeding above the ligament of Treitz, which suspends the duodenum at its junction with the jejunum. Bright red or blood-streaked vomitus indicates fresh or recent bleeding. Dark red, brown, or... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Nausea is a sensation of profound revulsion to food or of impending vomiting. Commonly accompanied by such autonomic signs as hypersalivation, diaphoresis, tachycardia, pallor, and tachypnea, it’s closely associated with both anorexia and vomiting.
Nausea,... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis.
A common sign... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Regurgitation is the nonforceful expulsionof contents from esophagus or stomach, whereas vomiting is the forcefulexpulsion of gastric contents through the mouth. The first partof this chapter is concerned with regurgitation and the second withvomiting. Principal Causes of ... Clinical Features and Diagnosis: Regurgitation ... Diagnostic Approach: Regurgitation ... Principal Causes of Vomiting ... Clinical Features and Diagnosis: Vomiting ... Diagnostic Approach: Vomiting ... References
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... Hematemesis, the vomiting of blood, usually indicates GI bleeding above the ligament of Treitz, which suspends the duodenum at its junction with the jejunum. Bright red or blood-streaked vomitus indicates fresh or recent bleeding. Dark red, brown, or black vomitus (the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Nausea is a sensation of profound revulsion to food or of impending vomiting. Typically accompanied by autonomic signs, such as hypersalivation, diaphoresis, tachycardia, pallor, and tachypnea, it's closely associated with anorexia and... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Vomiting is the forceful expulsion of gastric contents through the mouth. Characteristically preceded by nausea, vomiting results from a coordinated sequence of abdominal muscle contractions and reverse esophageal peristalsis.
A... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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These two should be considered together, because nausea is just a
forme fruste of vomiting. This symptom lends itself well to anatomic analysis,
particularly by the target method illustrated on page 324. The focus should be on the... Pictures
... READ EXCERPTS »
...
Hematemesis means vomiting or regurgitation of frank bright red
blood or coffee-ground material that is positive for occult blood. It may be
differentiated from hemoptysis because it usually gives an acidic reaction
to nitrazine paper... Pictures
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... James P. Cavanagh
Approach to the Patient with Vomiting
I. Definition of the Complaint
Vomiting is defined as the forceful contraction of ... Pictures
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... I. History of Present Illness
A 7-week-old African-American male infant presented with a 2-day history of
frequent vomiting. The vomiting was nonprojectile, nonbilious, and, on one
occasion, streaked with blood. Oral intake was ... Pictures
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... I. History of Present Illness
A 9-month-old girl presented with a 12-day history of poor feeding, decreased
activity, irritability, and frequent nonbloody, nonbilious emesis with feeds.
Ten days earlier she was initially ... Pictures
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... I. History of Present Illness
A 10-month-old girl presented with a 1-day history of vomiting and fever to 38.3°C. The emesis was nonbloody and nonbilious. She had a history of constipation
and failure to thrive starting at 4 months of age.
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... Matthew J. Ryan, MD Vomiting - BASICS Vomiting - description The expulsion of gastric contents through the mouth in varying degrees: Regurgitation is defined as small, effortless mouthfuls of food or stomach contents. ... Vomiting - DIAGNOSIS ... Vomiting - FOLLOW UP ... Vomiting - bibliography ... Vomiting - CODES
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It's inevitable that at some point in your child's life he or she will suffer vomiting and diarrhea. Most often they are nothing to get...
If you're pregnant, there's a chance that your doctor will suggest a procedure known as chorionic villus sampling to determine if your child...
"I authorize the release of any medical or other information necessary to process this claim." Do you recognize these words? You should, if...
Stress takes its toll by making us anxious, depressed and not able to function as fully as we'd like. What many don't know is that stress can...