Decoding Vomiting: A Clinical Approach to Nausea and Emesis

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A 45-year-old female presents to the emergency department with severe, sudden-onset epigastric pain radiating to her back, associated with persistent nausea and repeated episodes of non-bloody vomiting for the past 6 hours. She reports a history of gallstones. On examination, she is tachycardic, hypotensive, and has marked tenderness in the epigastric region with guarding. Laboratory tests show significantly elevated serum amylase and lipase. An abdominal ultrasound reveals cholelithiasis and a dilated common bile duct.
Which of the following is the most likely cause of her vomiting?
a) Gastroenteritis
b) Diabetic ketoacidosis
c) Acute pancreatitis
d) Migraine with aura
Correct Answer: c) Acute pancreatitis.
#vomiting
#nausea
#emesis
Professor Armen Astvatsatryan, MD, PhD, ScD, Fellow of European Society of Cardiology. First Dean and Founder of Faculty of Public Health of European Regional Educational Academy (now University). One of 100 Top Health Professionals - 2007 by the International Biographical Center`s (Cambridge, England)
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