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Vomiting, Pediatric

T. Matthew Shields, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Vomiting is the forceful expulsion of gastric contents through the mouth.

    • A prominent feature of many disorders of infancy and childhood

    • Often the only presenting symptom

  • Regurgitation ...

DIAGNOSIS

HISTORY

  • Special attention should be directed to the timing of the emesis, relationship to meals, position and time of day, as well as to the chronicity of symptoms.

  • Ask about medication, alcoh...

TREATMENT

  • Potential therapeutic interventions are broad, and therapy should be directed toward the underlying etiology.

  • Historically, empiric antiemetic medications were contraindicated in cases of acu...

ADDITIONAL READING

  • Fedorowicz Z, Jagannath VA, Carter B. Antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents. Cochrane Database Syst Rev.  2011;(9):CD00...

CODES

ICD9

  • 787.03 Vomiting alone

  • 779.33 Other vomiting in newborn

ICD10

  • R11.10 Vomiting, unspecified

  • P92.1 Regurgitation and rumination of newborn

SNOMED

  • 422400008 Vomiting (disorder)

  • 55331005 Newborn regurgi...

FAQ

  • Q: What are the most common causes of nonbilious vomiting in an infant?

  • A: Gastroesophageal reflux and milk protein allergy, although hypertrophic pyloric stenosis, sepsis, and malrotation must be ...

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