Nausea & Vomiting
COVID-19 clinical presentation
<div class="redbox">
<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
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*Common causes
- Infections
- Gastritis
- Peptic Ulcer Disease
- Migraine
- Eating disorder
<div style="text-align:center;"> <a href="https://www.bmj.com/content/359/bmj.j5245" target="_blank">Eating disorders in children and young people</a><br> <a href="https://www.bmj.com/content/bmj/suppl/2017/12/07/bmj.j5245.DC1/eating_disorders_v18_web.pdf" target="_blank">BMJ infographic</a> </div> - Psychogenic
*Must not miss!
*Easily missed
Red flags
- Severe vomiting
- Dehydration
- Haematemesis
- Petechial rash and fever (meningitis)
- Confusion
- Systemic symptoms (weight loss, sweats, fever)
Investigations to consider
- FBC, CRP/ESR
- U&Es, LFTs, Bone profile,
- Serum glucose,
- Serum amylase
- Urinalysis/ culture
- Pregnancy test
- Toxicology screen
- ECG
- AXR
- USS
- OGD
- CT scan (abdomen, pelvis)
- CT/MRI scan (Head)