Forceful, coordinated act of expelling gastric contents through the mouth; characterized by nausea, retching, and emesis; no gastric
contents are expelled during retching.
Appearance variable depending on the underlying cause
Signs of dehydration, including tachycardia, tachypnea, pallor, decreased perfusion, and shock
Altered mental st...
Fluid resuscitation with 0.9% NS IV; caution if concern about increased intracranial pressure.
Determine bedside fingerstick glucose.
Unstable vital signs, including persistent tachycardia or other evidence of hypovolemia
Serious etiologic condition or inability to exclude serious etiologic cond...
Determine presence or absence of bile or blood in emesis.
Bilious vomiting in the neonate is an important anatomic abnormality such as malrotation until proven otherwise.
Chandran L, Chitkara M. Vomiting in children: Reassurance, red flag, or referral? Pediatr Rev. 2008;29(6):183–192.
Claudius I, Kou M, Place R, et al. An evidence based rev...
530.81 Esophageal reflux
787.03 Vomiting alone
787.04 Bilious emesis
K21.9 Gastro-esophageal reflux disease without esophagitis
R11.10 Vomiting, unspecified
R11.14 Bilious v...
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