A Grave Case of Vomiting

A 60-year-old woman presented with intractable nausea and vomiting, which had progressively intensified over the past two weeks. Her past medical history was remarkable for mild thrombocytopenia and mildly elevated liver enzymes. Her vomiting was triggered by oral intake, was non-bloody and non-bilious, and was associated with non-resolving epigastric pain, dysphagia, anorexia, and weight loss. She had no remarkable exposures nor ill-contacts. Examination revealed an ill-looking patient with sinus tachycardia and clinical volume depletion.
Source: The American Journal of Medicine - Category: General Medicine Authors: Source Type: research