Professional Documents
Culture Documents
2
DEFINITION
Vomiting is forceful
retrograde expulsion of
gastric contents ….
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Different Descriptions
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Vomiting
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Vomiting (Medic)
• Blood (hematemesis)
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Diagnosis Approach
• Age
• Diet
• Onset and duration of vomiting
• Associated symptoms
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New born/Infant
• Kongenital anomaly
• Gastroenteritis
• GER/CMA
• Over feeding
• Sistemic infections
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Children and adolescent
• Gastroenteritis
• Systemic infection
• Intoxicasi/poisoning/drugs
• Cyclic vomiting
• Pregnancy
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Diet
First Principles of Gastroenterology, the basis of disease and an approach to management 2000
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Onset and duration of vomiting
First Principles of Gastroenterology, the basis of disease and an approach to management 2000
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Associated symptoms
fever
Diarrhea
abdominal pain,
jaundice
Neurologic symptoms
headaches (IC Pressure )
confusion
weakness
delay the development
Migraine
Psychogenic
First Principles of Gastroenterology, the basis of disease and an approach to management 2000
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Red Flags that Need Further Evaluation
Symptoms Causes
Projectile PS,GOO,malrotation
Bilious obstruc distal AV,CVS
Blood VE, peptic injury,
Severe,persistent abd pain intussception.pancreatitis,apencitis,
peptic ulcer, cholelithiasis
Headache,neckpain,weakness SOL,Migraine,Chiari
malformation
Polydipsia DKA
Dysuria UTI,Renal stones
Signs Causes
Bulging antor fontanella Meningitis, hydrocephalus,
subdural hemorrhage
Nuchal rigidity Meningitis, intracranial
hemorrhagie
Papilledema Increased intracranial pressure
Hyperreflexia or hypertonia Metabolic problems, upper motor
lesion
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Non surgery vomiting
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ETIOLOGI (tersering ditemukan)
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DIAGNOSIS
Anamnesis
• Usia, jenis kelamin
• Kapan mulai
• Sifat muntahan:bentuk, bau dan warna
• Frekuensi
• Kekuatan
• Ada/tidaknya gejala lain
• Gejala akut abdomen
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DIAGNOSIS
Pemeriksaan Fisik :
•Keadaan umum
•Status gizi
•Tanda-tanda vital
•Tanda dehidrasi
•Peristaltik usus, massa/distensi
abdomen
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DIAGNOSIS
Pemeriksaan Penunjang
• Laboratorium
• Radiologis
Foto polos abdomen
USG
CT-Scan
• Endoskopi
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Muntah
Usia
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