Nausea and Vomiting - Differential Diagnosis Algorithm
Upper Gastrointestinal - Acute
• Infectious Gastroenteritis
• Gastric/Duodenal Obstruction
• Gastric Volvulus
Upper Gastrointestinal - Chronic
• Gastroesophageal Reflux Disease
• Peptic Ulcer Disease
• Gastroparesis
Lower Gastrointestinal - Acute
• Infectious Gastroenteritis
• Small/Large Bowel Obstruction
• Acute Appendicitis
• Mesenteric Ischemia
• Acute Diverticulitis
Lower Gastrointestinal - Chronic
• Inflammatory Bowel Disease
• Colonic Neoplasm
Hepatobiliary
• Acute Hepatitis
• Acute Cholecystitis
• Cholelithiasis
• Choledocholithiasis
• Acute Pancreatitis
Endocrine/Metabolic
• Pregnancy
• Diabetes/ DKA
• Uremia
• Hypercalcemia
• Addison's Disease
• Thvroid Disease
Other
• sepsis (e.g. pyelonephritis, Pneumonia)
• Radiation Sickness
• Acute Myocardial Infarction
Drugs/Toxins
• Chemotherapy
• Antibiotics
• Ethanol
• Carbon Monoxide
• Heavy Metal
• Nicotine
High Intracranial Pressure
• Hemorrhage
• Meningitis
• Infarction
• Malignancy
• Head Trauma
Vestibular (Inner Ear)
• Ear Infection
• Motion Sickness
• Vestibular Migraine
• Méniére's Disease
Psychiatric
• Self-Induced (Bulimia)
• Cyclic Vomiting
• Psychogenic
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