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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... 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... 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 on the GI tract.
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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 ... 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... 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
Meningitis,
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... Unlike the transient nausea and vomiting normally experienced between the 6th and 12th weeks of pregnancy, hyperemesis gravidarum is severe and unremitting nausea and vomiting that persists after the first trimester. If untreated, it produces substantial weight loss; starvation... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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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... 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),... 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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... 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. ... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... 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. Commonly accompanied by such autonomic signs as hypersalivation, diaphoresis, tachycardia, pallor, and tachypnea, it’s closely associated with both anorexia and vomiting. ... 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... 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 ... 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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... 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.
Nausea, a common symptom of... 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 common sign of GI disorders... 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... Pictures
... READ EXCERPTS »
Each year you hear about small outbreaks of meningitis. It is highly contagious and sometimes fatal. Learn why the classic symptoms of a high fever...
Crohn's disease and ulcerative colitis -- together known as Inflammatory Bowel Disease, or IBD -- affect as many as a million Americans. Just...
Liver problems may be difficult to avoid when taking HIV medicines. But most problems are relatively mild and do not prevent people with HIV from...
Hepatitis B is a viral infection of the liver often spread through sexual contact. But people are usually unaware they carry the virus. Find out if...