Vomiting

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Describe metabolic and electrolyte abnormalities that occur with vomiting.
2. Recognize the clinical features and propose a management plan for patients with gastroesophageal reflux / gastroesophageal reflux disease, intussusception, malrotation / volvulus, and pyloric stenosis.
3. Recognize the clinical features of intestinal atresia.

Half Day Cases

• A 5 week old child is brought into the emergency department due to vomiting. He has had reflux since he was first born, but the emesis is getting more forceful. The vomit is non-bilious and non-bloody. He vomits with ever feed, and seems very hungry afterwards
• A 2 day old infant is in the newborn nursery. The patient has developed bilious emesis.
• A 5 year old child presents to the emergency department with severe abdominal pain, that is not alleviated by position or medication. She has developed vomiting over the last 4 hours as well