Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
• Acute Hepatitis
• Acute Pancreatitis
Upper Gastrointestinal - Acute:
• Infectious Gastroenteritis
• Gastric/Duodenal
Obstruction
• Pyloric Stenosis
• Intussusception
• Gastric Volvulus
• Necrotizing Enterocolitis
Upper Gastrointestinal - Chronic:
• Gastroesophageal Reflux Disease
• Peptic Ulcer Disease
• Gastroparesis
• Gastritis
Lower Gastrointestinal - Acute:
• Infectious Gastroenteritis
• Small/Large Bowel Obstruction
• Intussusception
• Acute Appendicitis
• Incarcerated Hernia
Lower Gastrointestinal - Chronic:
• Intestinal Atresia
• Midgut malrotation
Endocrine/Metabolic:
• Pregnancy
• Diabetes/ DKA
• Uremia
• Hypercalcemia
• Addison's Disease
• Thyroid Disease
Systemic - Other:
• Sepsis (e.g. Pyelonephritis, Pneumonia)
• Radiation Sickness
• Poisoning
• Food Allergy
• Urinary Tract Infection
Drugs/Toxins:
• Chemotherapy
• Antibiotics
• Carbon Monoxide
High Intracranial Pressure (CNS):
• Hemorrhage
• Meningitis
• Head Trauma
• Brain Tumour
• Hydrocephalus
Vestibular (Inner Ear):
• Ear Infection (Otitis Media)
• Motion Sickness
• Vestibular Migraine
• Méniére's Disease
• Labrynthitis
Psychiatric:
• Self-Induced (Bulimia)
• Cyclic Vomiting
• Psychogenic
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