Avaliação de náuseas e vômitos, adultos
Summary
Differentials
Common
- Gastrite
- Doença do refluxo gastroesofágico
- Úlcera péptica
- Gastroenterite viral
- Intoxicação alimentar
- Náuseas e vômitos crônicos pós-virais
- Enxaqueca
- Cinetose
- Vertigem posicional paroxística benigna
- AVC (embólico/isquêmico/hemorrágico)
- Hipercalcemia
- Hipotireoidismo
- Obstrução da saída gástrica
- Obstrução do intestino delgado
- Obstrução do intestino grosso
- Coledocolitíase
- Colecistite aguda
- Depois de cirurgia gastrointestinal
- Constipação grave
- Síndrome do intestino irritável (SII)
- Síndrome do vômito cíclico (SVC)
- Disritmias gástricas
- Gastroparesia
- Peritonite bacteriana
- Anorexia nervosa
- Bulimia nervosa
- Gestação
- Induzida por medicamentos
- Nefrolitíase
- Uremia
- Dispepsia idiopática funcional ou síndrome do sofrimento pós-prandial
Uncommon
- Síndrome coronariana aguda
- Síndrome da taquicardia ortostática postural
- Doença de Ménière
- Schwannoma vestibular
- Lesão cerebral traumática
- Meningite
- Abscesso cerebral
- Convulsão focal com consciência comprometida
- Tumores do sistema nervoso central
- Insuficiência adrenal primária (aguda ou crônica)
- Hipertireoidismo
- Hipopituitarismo
- Hipertermia
- Pancreatite aguda
- Cetoacidose diabética
- Sequelas da cirurgia bariátrica
- Pseudo-obstrução primária
- Pseudo-obstrução secundária
- Abscesso abdominal
- Peritonite carcinomatosa
- Câncer de estômago
- Câncer de ovário
- Câncer renal
- Câncer pulmonar de células pequenas
- Câncer de pâncreas
- Isquemia mesentérica crônica
- Hiperêmese canabinoide
- Náuseas e vômitos crônicos após antibióticos ou anestésicos
Contributors
Authors
Thomas L Abell, MD
Professor of Medicine
Arthur M. Schoen, MD, Chair in Gastroenterology
Gastrointestinal Motility Clinic
Louisville
KY
Disclosures
TLA receives funding from the National Institutes of Health (NIH) Gastroparesis Clinical Research Consortium (GpCRC), and the NIH Gastric Dysrhythmias. He is an investigator for Cindome, Vanda, Neurogastrx, and Processa; a consultant for Nuvaira, Takeda, Medtronic, and Enterra Medical; a speaker for Takeda and Enterra Medical; a reviewer for UpToDate; the Gastric Electrical Stimulation editor for Neuromodulation, Wikistim; and the founder of ADEPT-GI which has intellectual property for autonomic/enteric and bioelectric diagnosis and therapies. TLA is an author of a number of references cited in this topic.
Prateek Mathur, MD
University of Louisville
Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine
Louisville
KY
Disclosures
PM declares that he has no competing interests.
Acknowledgements
Professor Thomas L Abell and Dr Prateek Mathur would like to gratefully acknowledge Dr Kenneth L Koch, a previous contributor to this topic.
Disclosures
KLK is a consultant for GlaxoSmithKline and a shareholder in 3 CPM Company. He is an author of a number of references cited in this topic.
Peer reviewers
James Neuberger, BM, BCh
Consultant Physician
Liver Unit
Queen Elizabeth Hospital
Birmingham
UK
Disclosures
JN declares that he has no competing interests.
Daniel Leffler, MD, MS
Instructor in Medicine
Harvard Medical School
Director of Clinical Research
The Celiac Center
Beth Israel Deaconess Medical Center
Boston
MA
Disclosures
DL declares that he has no competing interests.
Ned Snyder, MD, FACP
Professor of Medicine
Chief of Clinical Gastroenterology and Hepatology
University of Texas Medical Branch
Galveston
TX
Disclosures
NS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Quigley EM, Hasler WL, Parkman HP. AGA technical review on nausea and vomiting. Gastroenterology. 2001 Jan;120(1):263-86.Full text Abstract
American College of Gastroenterology. Clinical guideline: gastroparesis. Aug 2022 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Guidelines
- The royal children’s hospital, Melbourne: clinical practice guideline: vomiting
- American Gastroenterological Association clinical practice update on diagnosis and management of cyclic vomiting syndrome: commentary
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