Nausea & Vomiting

HISTORY_LIST
character & contents of emesis
vertigo
tinnitus
abdominal pain
effect of vomiting on pain
early satiety
fever
headache
weakness
chest pain
melena
clay colored stool
dark urine
jaundice
myalgia
recent change in medications
ingestion:
   spoiled/contaminated food
pregnant
Last menstrual period
heavy metal poisoning
INFECTIOUS DISEASES
intestinal virus
CHRONIC DISEASE
   OR SYSTEMIC DISORDERS
diabetes
cardiac dz.
gastric or duodenal ulcer
liver dz.
PREVIOUS TESTS
X-rays of abdomen
upper GI series
SOCIAL HISTORY
smoking
alcohol
caffeine
illicit drugs - cocaine
ALLERGY
medications
foods
seasonal
FAMILY HISTORY
diabetes
cardiac dz.
gastric or duodenal ulcers

MEDS_LAB_TESTS
**** MEDS
Colchicine
Digoxin
Aminophylline
chemotherapy
alcohol
anticholinergics
morphine
Demerol
ergot
oral contraceptives
estrogen
antiarrhythmics
**** LAB
Vomitus occult blood
Electrolytes
BUN
creatnine
CBC
LFT
pregnancy test
**** TESTS
ECG
CXR
Upper GI series
Endoscopy



REVIEW_OF_SYSTEMS_1
GENERAL
weight changes
appetite changes
anorexia
difficulty sleeping
fever
chills
polyphagia
hypophagia
changes in thirst
sleeping habit change
bowel habit change
fatigue
hypertension
previous physical exams
SKIN
pigmentation changes
texture changes
lesions
eruptions
pruritis
easy bruising
easy bleeding
unusual hair loss
changes in hair distribution
skin masses
finger/toe nail change
rashes
hives
striae
skin atrophy
uremic frost
hirsutism
plethora
neurofibromatosis lesion
HEENT
head trauma
skull fractures
head masses
hearing loss
vertigo
chronic ear infection
ear discharge
ear pain
hearing aid use
loss of vision
recent change in vision
photophobia
diplopia (double vision)
glaucoma
exudates
dry eyes
eye pain
cataracts
eye surgery
itchy eyes
excessive tearing
corrective lenses
nose bleeds
chronic sinusitis
nasal fractures
nasal drainage
polyps
changes in sense of smell
edentulous (without teeth)
partial plate
full plate
recent dental work
oral lesions
tonsillitis
strep throat
tongue problems
voice changes
chronic hoarseness
chronic halitosis
NECK
neck masses
enlarged thyroid gland
brachial cleft cysts
neck injury

REVIEW_OF_SYSTEMS_2
CHEST
chronic coughing
sputum production
hemoptysis
wheezing
pneumonia
bronchitis
TB
TB exposure
SOB (altered by position?)
edema
chest pains
pacemaker
HEART
MI
coronary artery disease
heart murmur
heart valve disease
left ventricular hypertrophy
mistral valve stenosis
pericarditis
palpitations
DOE
paroxysmal nocturnal dyspnea
orthopnea
edema
hypertension
rheumatic fever
cardiomyopathy
ectopic heart beats
arrhythmia
exercise intolerance
claudication
heart medications
ABDOMEN
abdominal pain
nausea
vomiting
diarrhea
constipation
hematochezia
hematemesis
hemorrhoids
GI x-rays
GI scopings
rectal bleeding
ulcers
bowel polyps
bowel incontinence
gall bladder disease
gall stones
hepatitis
cirrhosis
hepatomegaly
splenomegaly
GU
renal insufficiency
renal failure
dialysis
kidney stones
kidney disease
kidney cyst
flank pain
hematuria
pyuria
dysuria
chronic cystitis
nocturia
anuria
hesitancy
enuresis
change in urine color
prostatitis
epididymitis
scrotal problems
TURP
pain on intercourse
genital lesions
genital discharge

REVIEW_OF_SYSTEMS_3
OB/GYN
metorrhagia
menorrhagia
irregular menses
problems in pregnancy
use of contraception
breast masses
nipple discharge
breast skin changes
changes in axillary nodes
monthly breast exam
breast feeding children
EXTREMITIES
difficulty with gait
weakness
joint swelling
joint stiffness
muscle pain
muscle swelling
muscle injuries
sagittal plan scoliosis
coronal plane scoliosis
fractured bones
SLE
osteoarthritis
rheumatoid arthritis
fibromyalgia
NEURO
seizures
head injury
LOC
loss of coordination
difficulty in balance
sciatica
difficulty: fine motor skills
difficulty speaking
CVA (stroke)
weakness in arms
weakness in legs
tingling in legs and feet
tingling in arms
PSYCHIATRIC
depression
bipolar disorder
suicide attempts
hospitalization
   for psychiatric problems
personality disorders
ENDOCRINE
goiter
exophthalmos
dry skin
dry hair
intolerance to heat
intolerance to cold
changes in growth
sterility
impotence
decreased libido
LYMPHATIC AND HEMATOLOGICAL
lymphadenopathy
transfusion
anemia



PHYSICAL_EVAL_1
VITALS
BP
Postural BP
Pulse
Temp
Heart rate
GENERAL
nauseated
lethargic
SKIN
temperature
pallor
jaundice
spider angioma
HEENT
nystagmus
papilledema
absent venous pulsations
ketone odor on breath

PHYSICAL_EVAL_2
NECK
JVD
ABDOMEN
scars
bowel sounds
bruits
tenderness
rebound
rigidity
distention
splenomegaly
hepatomegaly
ascites
GU
occult blood
EXTREMITIES
edema





DIFF_DIAGNOSIS
GI tract infection: Bacterial,
  viral, or parasitic 
Gastroenteritis
systemic infections
medication
appendicitis
cholecystitis
hepatitis
intestinal obstruction
peptic ulcer or bleeding
gastroparesis
MI
elev. intracranial pressure
labyrinthitis
Meniere's dz.
heart failure
diabetic ketoacidosis
hypothyroidism
adrenal insufficiency
pregnancy
uremia
toxemia
bulimia
psychogenic


