Vitals: HR: 135 beats/min, BP: 70/46, RR: 35/min, T: 37. Key messages When vomiting may be significant Vomit contains blood Vomiting bile Projectile vomiting Consider pyloric stenosis Vomiting in an unwell. General appearance: Overall well looking 4-week old baby boy, easily distractible Otherwise, the rest of the history is unremarkable. The foamy appearance may be caused by the vomit coming into contact with the air or being sloshed around in the stomach before the vomiting occurs. pernicious vomiting ( vomiting of pregnancy ) hyperemesis gravidarum. dry vomiting attempts at vomiting, with the ejection of nothing but gas. cyclic vomiting recurring attacks of vomiting. Vomiting is really connected with aggression, says writer and researcher Sarah. There is no family history of any medical conditions of note. projectile vomiting: vom´it-ing forcible ejection of contents of stomach through the mouth. Projectile vomiting also has a history bound up with gender the most prominent vomiteurs often being women. Upon further history taking, the mother notes that the pregnancy and delivery were both uncomplicated. You attempt to characterize the color of the vomiting and the mother describes it as milky. As this is her first child, she is obviously quite concerned and came to the office. This morning, five more attempts of feeding were followed by five episodes of projectile vomiting. She explains that over the past couple days, the child has been throwing up, and more recently the vomit nearly “hit the wall.” After a few minutes, she continues feeding but the same series of events occurred. Your preceptor sends you in to see a mother with a child complaining of vomiting.Ī mother has brought in her four-week old baby boy for complaints of vomiting. You are a third year medical student completing your first rotation in ambulatory clinic in a general pediatrics clinic.
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