CRACKCast E217- Nausea and Vomiting

CRACKCast & Physicians as Humans on CanadiEM

Core Questions

1. Define the following terms:
2. 1. Nausea
   2. Retching
   3. Vomiting
3. Outline the neural pathway regulating nausea and vomiting.
4. List 6 potential sequelae of vomiting.
5. Outline an approach to the history in the patient complaining of nausea and vomiting.
6. Outline an approach to the physical exam in the nauseated and/or vomiting patient.
7. List 10 differential diagnoses for the vomiting patient.
8. What ancillary tests are indicated in the patient with nausea and/or vomiting?
9. List five antiemetics that can be used to treat the nauseous and vomiting patient.

Wisecracks

1. What are the three phases of vomiting?
2. What is Hamman’s Sign and what pathology does it point to?
3. What medication is indicated in the patient with intractable chemotherapy-induced nausea and vomiting.