History taking -- Vomiting.
Introduction:
How long have you been sink?
How many times do you vomit in a day?
When do you vomit? Is the vomiting worse in the mornings (raised ICP)? Is the vomiting effortless? Does the vomiting occur in relation to meals?
How much do you vomit? Is the vomit copious and watery? Colour of the vomit? Is the vomit blood or bile stained? Is there any food in the vomit?
Fever? Weight loss?
Do you bring up acid? Is there an associated abdominal pain? Do you feel sick before or does it just happen?
Do you feel better after vomiting?
H/o travel?
Any other members of the family are affected?
Are you on any medication (morphine, digoxin)?
Other associations: pregnancy, alcohol.
H/o acid peptic disease, pancreatitis, ICSOL, gall stones and angina?
DD: Gastroenteritis, acid peptic disease, pancreatitis, ICSOL, gall stones, pregnancy.