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Recommend to Check
  • Nausea
  • Vomiting
  • Abdominal pain
  • Abdominal distension
  • Acute
  • Chronic
  • Increase of postprandial abdominal pain
  • Heartburn
  • Feculent vomiting
  • Volume depletion
  • Hypokalemia
  • Metabolic alkalosis
  • Anesthesia
  • Increased need for sleep
  • Lack of stamina
  • Associated with inflammatory bowel diseases
  • Lethargy
  • Listlessness
  • Extrauterine gestational sac with a yolk sac
  • Amenorrhea more than 4 weeks
  • Distended abdomen
  • Anorexia
  • Fatigue
  • Fever
  • Right upper quadrant abdominal discomfort
  • Fails to correct prolonged prothrombin time with vitamin k
  • Liver is enlarged
Possible Diagnoses
Cirrhosis
Liver cirrhosis
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Neurological manifestations
Poor energy
Symptoms of temporal lobe seizures
Abdominal swelling
Decreased libido
Jaundice
Muscle wasting
Splenomegaly
Weight loss
Palmar erythema
Spider angiomas
Fatigue
Weakness
Abdominal distention
Afternoon fatigue
Biliary cirrhosis
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Poor energy
Symptoms of temporal lobe seizures
Muscle weakness
Proximal muscle weakness
Absence of parenchymal kidney disease
Absence of shock
Amnesia
Anxiety
Ataxic gait
Babinski sign
Bizarre behavior
Clonus
Disorientation for time
Dyspraxia
Euphoria
Primary biliary cirrhosis
Malignancy
Portal hypertension
Urinary tract infection
Anesthesia
Burning sensation in extremities
Crawling sensation in extremities
Creeping sensation in extremities
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Numbness sensation in extremities
Paresthesia in entire hand
Paresthesia in wrist
Poor energy
Significant fatigue
Somatosensory symptoms
Symptoms of temporal lobe seizures
Tingling sensation in extremities
Concentration impairment
Alcoholic liver cirrhosis
Ascites
Anorexia
Fatigue
Fever
High-grade fever
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Low-grade fever
Malaise
Nausea
Poor energy
Right upper quadrant abdominal discomfort
Vomiting
Weight loss
Cardiomyopathy
Pancreatic dysfunction
Skeletal muscle wasting
Abdominal wall collaterals
Cholangitis
Primary sclerosing cholangitis
Associated with inflammatory bowel diseases
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Poor energy
Symptoms of temporal lobe seizures
Muscle weakness
Proximal muscle weakness
Increasing cholestasis
Right upper quadrant pain
Jaundice
Fatigue
Fever
Complication ulcerative colitis
Absence of parenchymal kidney disease
Absence of shock
Amnesia
Anxiety
Ectopic pregnancy
Ruptured ectopic pregnancy
Extrauterine gestational sac with a yolk sac
Amenorrhea more than 4 weeks
Distended abdomen
First-trimester vaginal bleeding
Sudden onset
Abdominal pain
Staining
Vaginal bleeding
Amenorrhea
Late menstrual period
Menstrual cycle abnormalities
Missed menstrual period
Amenorrhea preceded vaginal bleeding
Intermittent vaginal bleeding
Adnexal mass
Breast tenderness
Frequent urination
Nausea
Pregnancy discomforts
Right pelvic pain
Alcoholic liver disease
Alcoholic liver disease
Anorexia
Fatigue
Fever
Jaundice
Nausea
Right upper quadrant abdominal discomfort
Vomiting
Weight loss
Digital clubbing
Palmar erythema
Ascites
Splenomegaly
Asterixis
Confusion
Dupuytren contractures
Gynecomastia
Hematemesis
Leg swelling
Weight gain
Gastrointestinal bleeding
Hepatitis
Alcoholic hepatitis
Right upper quadrant abdominal discomfort
Fails to correct prolonged prothrombin time with vitamin k
Liver is enlarged
Fever
Anorexia
Liver is tender
Asterixis
Gastrointestinal bleeding
Fatigue
Lack of stamina
Lethargy
Poor energy
Weakness
Cardiomyopathy
Pancreatic dysfunction
Skeletal muscle wasting
Abdominal distension
Abdominal wall collaterals
Bruit heard over liver
Cutaneous telangiectasias
Mesenteric ischemia
Mesenteric ischemia
Over age 60 years
Early frequent passage of mucosal
Nonspecific abdominal pain
Severe periumbilical pain
Bloody diarrhea
Abdominal distension
Continuous pain
Diffused
Diffused abdominal pain
Early severe abdominal pain
Moderate tenderness
No bowel sounds
Severe pain
Abdominal bruits
Peritoneal signs
Hematochezia
Severe abdominal pain
Weight loss
Diarrhea
Massive fluid protein and electrolytes start to leak
Alcoholic fatty liver
Alcoholic fatty liver
Hepatomegaly
Asterixis
Anorexia
Fatigue
Fever
Lack of stamina
Lethargy
Poor energy
Right upper quadrant abdominal discomfort
Vomiting
Weakness
Weight loss
Cardiomyopathy
Pancreatic dysfunction
Skeletal muscle wasting
Abdominal wall collaterals
Cutaneous telangiectasias
Digital clubbing
Disheveled appearance
Muscle weakness
Gastroenteritis
Muscle layer eosinophilic gastroenteritis
Small bowel obstruction
Abdominal bleeding
Acute onset of gastrointestinal bleeding
Black stool
Bleeding episodes
Blood in the vomitus
Colitis
Gi bleeding
Hemorrhagic complications
Melena
Occult blood
Stool guaiac-positive
Tarry stool
Bloody diarrhea
Abdominal pain
Diarrhea
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
three months
Intussusception
Intussusception
Abdominal pain
Constipation
Fever
Intermittent abdominal pain
Intermittent pain
Nausea
Vomiting
Weight loss
Rectal bleeding
Redcurrant jelly stools
Chronic
Progressive lethargy
Colicky pain
Intermittent partial bowel obstruction
Abdominal distention
Palpable abdominal mass
Leading to bowel perforation
Leading to secondary bacterial peritonitis
Peritonism
Hypovolemic shock
Nausea and Vomiting
History, PE, Laboratory evaluation
Assess for mechanical obstruction, peritonitis, dehydration, or bleeding
YES (mechanical obstruction, peritonitis, dehydration, or bleeding)
Replace fluids, Consider hospitalization
NO (mechanical obstruction, peritonitis, dehydration, or bleeding)
Regurgitation of undigested food? rumination, esophageal stricture, Zenker’s diverticulitis
Assess for pharmacologic or toxic causes
YES (pharmacologic or toxic causes)
Discontinue offending agent Treat toxicity
NO (pharmacologic or toxic causes)
Constant or recurrent, intermittent
Consider: Migraines, Seizure disorder, Cyclic vomiting, CNS lesions
Duration < 1 wk
Consider: Food poisoning, Gastroenteritis
Fluid and electrolyte replacement, observation, antiemetics
Duration > 7 days
Predominantly AM vomiting
Consider: Pregnancy, Uremia, Alcohol use, Increased intracranial pressure
Focal defects, Brainstem Posterior fossa, Abdominal migraine
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Vomiting > 1 hr after meal
Gastric emptying study
Prolonged emptying
Consider: Gastroparesis, Trial prokinetic agents, Gastric outlet obstructions
EGD
Normal emptying
Consider: Conversion reaction, Depression
Psychological evaluation
Vertigo
Consider: Labyrinthine disorder
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Vomiting immediately after meals
Consider: Gastroesophageal reflux disease, Bulimia
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Chronic orthostatic hypotension, hyponatremia
Consider: Adrenal insufficiency
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Weight loss
Consider: Malignancy, Gastroparesis, Gastric outlet obstruction
EGD
Etiology still uncertain
Consider: Electrogastrography, MRI of brain