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خرید پکیج

تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Concerning signs in an infant or child with nausea or vomiting

Concerning signs in an infant or child with nausea or vomiting

Concerning signs	Comments or diagnostic considerations
Nonspecific symptoms
Prolonged vomiting >12 hours in a neonate >24 hours in children <2 years >48 hours in older children	Concerns for fluid and electrolyte abnormalities Increased possibility of underlying systemic or metabolic disorder
Profound lethargy	Increased possibility of an underlying systemic or metabolic disorder
Significant weight loss	Increased possibility of an underlying systemic or metabolic disorder
Symptoms of gastrointestinal obstruction or disease
Bilious vomiting	Intestinal obstruction, especially in a neonate
Projectile vomiting	Pyloric stenosis in a young infant (<12 weeks of age) Intestinal obstruction, cyclic vomiting syndrome
Hematemesis	Severe hematemesis suggests esophageal varices Milder hematemesis may be due to injury to the esophagus (Mallory-Weiss tear) or stomach (prolapse gastropathy), due to recurrent vomiting
Hematochezia	Intussusception (especially in infants and toddlers), infectious colitis, or IBD
Marked abdominal distension, peritoneal signs	Intestinal obstruction or intra-abdominal process (eg, appendicitis)
Symptoms or signs suggesting neurologic or systemic disease
Bulging fontanelle (infant)	Hydrocephalus or meningitis
Headache, positional triggers for vomiting or vomiting on awakening, lack of nausea	Increased intracranial pressure (eg, CNS mass, hydrocephalus, or idiopathic intracranial hypertension)
Altered consciousness, seizures, or focal neurologic abnormalities	Toxic ingestion, diabetic ketoacidosis, CNS mass, or inborn error of metabolism
History or physical signs of trauma	Subdural hematoma or intra-abdominal injury (eg, duodenal hematoma)
Hypotension disproportionate to apparent illness and/or hyponatremia with hyperkalemia	Adrenal crisis

IBD: inflammatory bowel disease; CNS: central nervous system.

Courtesy of Carlo Di Lorenzo, MD.

Graphic 100349 Version 6.0

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