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Possible Diagnoses
Gastroparesis
Gastroparesis
Nausea
Upper abdominal pain
Easy satiety
Pain with sleeping
Mild bloating
Gastric residual in four hours
Vomiting
Exacerbate after eating
Bloating
Postprandial fullness
Weight loss
Epigastric pain
Postprandial nausea
Abdominal discomfort
Burning sensation
Crampy sensation
Epigastric distention
Epigastric tenderness
Gastric retention
Localized pain
Pancreatitis
Acute pancreatitis
Nausea
Vomiting
Mild discomfort
Left upper quadrant pain
Alleviated in fetal position
Worsens with movement
Acute upper abdominal pain
Boring pain
Periumbilical pain
Relief on bending forward
Relieved by sitting up
Epigastric pain
Pain radiate to back
Signs of hypovolemia
Anorexia
Hypotension
Abdominal distention
Blue-red-purple of flanks
Clinical signs of hypocalcemia
Gradual pain
Migraine
Migraine headache in adults
Sensitivity to light
Sensitivity to noise
Triggered by emotional stress
Triggered by stressful life events
Prodromal with constipation
Prodromal with feeling depressed
Prodromal with food cravings
Prodromal with irritability
Prodromal with stiff neck
Prodromal with yawning
Dysthymia
Generalized anxiety disorder
Major depression
Panic disorder
Psychiatric disorders
Lightheadedness
Unilateral headache
Throbbing sensation
Decrease ability to function
Headache worse with activity
Acute fatty liver of pregnancy
Acute fatty liver of pregnancy
Nausea
Vomiting
In third trimester
Multiple gestations
Jaundice
Abdominal pain
Anorexia
Confusion
Edema
Epigastric pain
Hepatic encephalopathy
Hypertention
Lactic acidosis
Malaise
Signs of preeclampsia
Before delivery
Polydipsia
Dic
Infection
Long ptt
Hereditary angioedema
Hereditary angioedema
Extremities skin swelling
Face skin swelling
Genitals skin swelling
Skin swelling
Exacerbating by oral contraceptives
Abdominal distension
Abdominal pain
Gastrointestinal colic
Nausea
Vomiting
Diarrhea
Exacerbating by stress
Skin sensation of fullness
Skin sensation of irritation
Skin tingling
Chicken-wire pattern of erythematous discoloration
Erythema marginatum
Erythematous discoloration
Exacerbating by bacteriuria
Exacerbating by bicycle riding
Sigmoid volvulus
Sigmoid volvulus
Abdominal pain
Tenderness
Abdominal distension
Obstipation
Constipation
Nausea
Colicky pain
Continuous pain
Severe pain
Tympanitic abdomen
Recurrent pain
Vomiting
Lead to gangrene
Peritonitis
Sepsis
None
Giardiasis
Diarrhea
Malaise
Abdominal pain
Flatulence
Foul-smelling stools
Abdominal cramps
Belching
Bloating
Nausea
Frequent belching
Weight loss
Anterior uveitis
Cystic fibrosis
Immunocompromised individuals
Ingestion of contaminated water
Ingestion of raw food
Ingestion of uncooked food
Ingestion of untreated water
Poor sanitary conditions
Travelers
Rocky mountain spotted fever
Rocky mountain spotted fever
Fever
Blanching erythematous rash
Maculopapular rash
Skin rash
Headache
Nausea
Vomiting
Rash on the palms
Tick bite
Anorexia
Early summer
Malaise
Myalgia
Severe headache
Triad of fever rash and tick exposure
Petechiae
Triad of fever rash and headache
Petechia not disappear upon compression
Petechial rash
Maculopapular rash on the ankles
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
Acute appendicitis
Acute appendicitis
Abdominal tenderness
Onset of abdominal pain
Right lower quadrant tenderness
Shift to the left
Anorexia
Mild vomiting
Nausea
Vague discomfort
Vague pain
More localized to right lower quadrant pain after several hours
Vague periumbilical pain
Migratory right iliac fossa pain
Pain migration from periumbilical to right lower quadrant
Mcburneys point tenderness
Sharper pain
Positive alvarado score
Rebound tenderness
Rebound tenderness in the right iliac fossa
Tenderness in the right iliac fossa
Fever
Gallbladder cancer
Gallbladder cancer
Anorexia
Nausea
Vomiting
Abdominal pain
Pruritus
Weight loss
Jaundice
Malaise
Resemble cholecystitis
Palpable mass
Ascites
Extraabdominal metastases
Hepatomegaly
Paraneoplastic syndromes
Hiatus hernia
Hiatus hernia
Substernal region pain
Epigastric pain
Nausea
Postprandial fullness
Retching
Substernal region fullness
Auscultation reveal gastric sounds in chest
Dysphagia
Dyspnea
Heartburn
Hematemesis
Painful swallowing
Reflux of sour liquid material
Wheezing
Chills
Confusion
Fevers
Nonbilious vomiting
Oropharyngitis
Esophageal dysphagia
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