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Differential diagnosis of nausea and vomiting

Differential diagnosis of nausea and vomiting
Medications and toxic etiologies
Cancer chemotherapy
  • Severe – cisplatinum, dacarbazine, nitrogen mustard
  • Moderate – etoposide, methotrexate, cytarabine
  • Mild – fluorouracil, vinblastine, tamoxifen
Analgesics
  • Aspirin
  • Nonsteroidal antiinflammatory drugs
  • Auranofin
  • Antigout drugs
Cardiovascular medications
  • Digoxin
  • Antiarrhythmics
  • Antihypertensives
  • Beta blockers
  • Calcium channel antagonists
Diuretics
Hormonal preparations/therapies
  • Oral antidiabetics
  • Oral contraceptives
Antibiotics/antivirals
  • Erythromycin
  • Tetracycline
  • Sulfonamides
  • Antituberculous drugs
  • Acyclovir
Gastrointestinal medications
  • Sulfasalazine
  • Azathioprine
Nicotine
CNS active drugs
  • Narcotics
  • Antiparkinsonian drugs
  • Antiseizure medications
Antiasthmatics
  • Theophylline
Radiation therapy
Ethanol abuse
Jamaican vomiting sickness
Hypervitaminosis
Infectious causes
Gastroenteritis
  • Viral
  • Bacterial
Nongastrointestinal infections
  • Otitis media
Disorders of the gut and peritoneum
Mechanical obstruction
  • Gastric outlet obstruction
  • Small bowel obstruction
Functional gastrointestinal disorders
Gastroparesis
Chronic intestinal pseudo-obstruction
Nonulcer dyspepsia
Irritable bowel syndrome
Organic gastrointestinal disorders
  • Pancreatic adenocarcinoma
  • Inflammatory intraperitoneal disease
  • Peptic ulcer disease
  • Cholecystitis
  • Pancreatitis
  • Hepatitis
  • Crohn disease
  • Mesenteric ischemia
  • Retroperitoneal fibrosis
  • Mucosal metastases
CNS causes
Migraine
Increased intracranial pressure
  • Malignancy
  • Hemorrhage
  • Infarction
  • Abscess
  • Meningitis
  • Congenital malformation
  • Hydrocephalus
  • Pseudotumor cerebri
Seizure disorders
Demyelinating disorders
Cranial radiation
Emotional responses
Psychiatric disease
  • Psychogenic vomiting
  • Anxiety disorders
  • Depression
  • Pain
  • Anorexia nervosa
  • Bulimia nervosa
Labyrinthine disorders
  • Motion sickness
  • Labyrinthitis
  • Tumors
  • Ménière disease
  • Iatrogenic
  • Fluorescein angiography
Endocrinologic and metabolic causes
Pregnancy
Other endocrine and metabolic
  • Uremia
  • Diabetic ketoacidosis
  • Hyperparathyroidism
  • Hypoparathyroidism
  • Hyperthyroidism
  • Addison's disease
  • Acute intermittent porphyria
Miscellaneous causes
Postoperative nausea and vomiting
Cyclic vomiting syndrome
Cannabis hyperemesis syndrome
Cardiac disease
  • Myocardial infarction
  • Heart failure
  • Radiofrequency ablation of the liver
Starvation
Radiation therapy to the upper abdomen and lower chest
CNS: central nervous system.
Original table modified for this publication. From: Quigley EMM, Hasler WL, Parkman HP. AGA technical review on nausea and vomiting. Gastroenterology 2001; 120:263. Table used with the permission of Elsevier Inc. All rights reserved.
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