Understanding Vomiting in Pediatrics
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Questions and Answers

What is the vomiting response triggered by?

  • Metabolic and hormonal imbalances
  • Peripheral and central stimuli (correct)
  • Neural and hormonal responses
  • Gastric and intestinal distension

Which condition is NOT a central cause of vomiting?

  • Motion-sickness and vertigo
  • Gastroenteritis
  • Pregnancy
  • Metabolic acidosis (correct)

What might be associated with vomiting in the history of presenting illness?

  • Fever and stiff neck (correct)
  • Travel history and sexual history
  • Weight loss and head trauma
  • Anorexia and urinary output

Which vital sign might indicate volume loss associated with vomiting?

<p>Hypotension (A)</p> Signup and view all the answers

What might be examined to assess upper respiratory tract infection related to vomiting?

<p>Enlarged tonsils with exudates (C)</p> Signup and view all the answers

Flashcards

Vomiting trigger

Triggered by peripheral and central stimuli.

Non-central vomiting cause

Metabolic acidosis is NOT a central vomiting cause.

Presenting illness clue

Fever and stiff neck might accompany vomiting.

Vomiting-related vital sign

Hypotension indicates volume loss from vomiting.

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Upper respiratory exam

Enlarged tonsils with exudates may link to vomiting.

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Study Notes

Vomiting

  • Vomiting response triggered bystimulation of the chemoreceptor trigger zone (CTZ) by chemical toxins or medications
  • Inflammation of the stomach, food poisoning, infection, and motion sickness can also trigger vomiting

Causes of Vomiting

  • Central causes of vomiting include meningitis, encephalitis, and increased intracranial pressure
  • Gastroenteritis, food poisoning, and infectious diarrhea are NOT central causes of vomiting

History of Presenting Illness

  • Nausea, abdominal pain, fever, and diarrhea might be associated with vomiting in the history of presenting illness
  • Recent travel, antibiotic use, and eating contaminated food might also be relevant

Vital Signs

  • Tachycardia (rapid heart rate) might indicate volume loss associated with vomiting

Upper Respiratory Tract Infection

  • Nasopharyngeal aspirate or throat culture might be examined to assess upper respiratory tract infection related to vomiting

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Description

Test your knowledge of the organized, autonomic response of vomiting in pediatric medicine. Learn about the neural, hormonal, and muscular responses involved in the vomiting process.

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