Vomiting in Children
Green vomit is a surgical emergency - Dr. Tim Horeczko
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image by: Zynergia - Edlene Joyce Piramide
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PEM Playbook – Vomiting in the Young Child: Nothing or Nightmare
In the young child, vomiting is the great imitator: gastrointestinal, neurologic, metabolic, respiratory, renal, infectious, endocrine, toxin-related, even behavioral. To help us organize, below is a review of can’t-miss diagnoses by age.
The Neonate: Malrotation with Volvulus
In children with malrotation, 50% present within the first month of life, with the majority occurring in the first week after birth. Approximately 90% of children with malrotation with volvulus will present by one year of age. This is a pre-verbal child’s disease – which makes it even more of a challenge to recognize quickly.
The sequence of events usually is fussiness,…
Resources
5-Minute Emergency Consult
The causes of vomiting vary with age and range from very benign to serious life-threatening conditions...
Abdominal Pain & Vomiting
The differential diagnosis for abdominal pain and vomiting in a pediatric patient can be broad,
Isolated vomiting has an extraordinarily low risk of ciTBI.
Vomiting in a baby should not be confused with spitting up. Vomiting is forceful and repeated. Spitting up may seem forceful but it usually occurs shortly after feeding, is effortless, and causes no discomfort.
Splat! A vomiting infant
The major causes of non-bilious vomiting in infants are: Pyloric stenosis, GERD, Infection (especially UTI and gastroenteritis).
The Vomiting Infant
Gastroenteritis, GE reflux, other? Ultrasound is a great tool for evaluating a variety of abdominal pathologies.
To Pedialyte or not to Pedialyte?
Kids with mild gastroenteritis experienced less dehydration when offered dilute apple juice followed by their preferred fluid choice at home compared to those instructed to drink ONLY electrolyte maintenance solution to replace fluid losses.
Vomiting in Kids After Head Trauma: To CT or Not to CT?
Isolated vomiting has an extraordinarily low risk of ciTBI.
PEM Playbook – Vomiting in the Young Child: Nothing or Nightmare
Bilious is bad – green vomit is always a surgical emergency – get the surgeons involved early.
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