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VOMITING |
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intra-cranial disease: |
raised intracranial pressure, eg. space-occupying lesionmeningitis migraine hypertensive encephalopathy |
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vestibular or labyrinthine disorders: |
motion sickness Meniere's disease vestibular neuronitis |
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metabolic and endocrine disease: |
renal failure diabetic ketoacidosis pregnancy hyperparathyroidism / hypercalcaemia diabetic gastroparesis |
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gastrointestinal pathology: |
obstruction, eg. pyloric stenosisgastro-enteritis, including food poisoning cholecystitis or biliary colic peptic ulceration abdominal trauma following surgery, eg. vagotomy |
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drugs (numerous; commoner ones listed): |
centrally-acting: |
digoxin opiates and opioids L-dopa oral contraceptive pill |
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irritating git: |
cytotoxic drugs erythromycin KCl aminophylline iron dapsone colchicine steroids NSAIDs alcohol |
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other causes: |
severe congestive heart failure (git oedema)severe pain from any cause, eg. myocardial infarction, renal colicany acute febrile illness in children severe coughing including Reye's syndromeopiate withdrawal radiation sickness psychogenic, eg. disgust, excitement, fear, severe painpsychiatric, eg. bulimia |
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