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Table 38-1

Causes of Nausea and Vomiting

IntraperitonealExtraperitonealMedications/Metabolic Disorders

Obstructing disorders

Pyloric obstruction

Small-bowel obstruction

Colonic obstruction

Superior mesenteric artery syndrome

Enteric infections

Viral

Bacterial

Inflammatory diseases

Cholecystitis

Pancreatitis

Appendicitis

Hepatitis

Altered sensorimotor function

Gastroparesis

Intestinal pseudoobstruction

Gastroesophageal reflux

Chronic idiopathic nausea

Functional vomiting

Cyclic vomiting syndrome

Cannabinoid hyperemesis syndrome

Rumination syndrome

Biliary colic

Abdominal irradiation

Cardiopulmonary disease

Cardiomyopathy

Myocardial infarction

Labyrinthine disease

Motion sickness

Labyrinthitis

Malignancy

Intracerebral disorders

Malignancy

Hemorrhage

Abscess

Hydrocephalus

Psychiatric illness

Anorexia and bulimia nervosa

Depression

Postoperative vomiting

Drugs

Cancer chemotherapy

Antibiotics

Cardiac antiarrhythmics

Digoxin

Oral hypoglycemics

Oral contraceptives

Endocrine/metabolic disease

Pregnancy

Uremia

Ketoacidosis

Thyroid and parathyroid disease

Adrenal insufficiency

Toxins

Liver failure

Ethanol