Differential Diagnosis for 24 yo Female with Stomach Discomfort, Nausea, and Vomiting
- Single Most Likely Diagnosis
- Alcohol-induced gastritis or hangover: This is the most likely diagnosis given the patient's recent alcohol consumption and symptoms of nausea, vomiting, and stomach discomfort.
- Other Likely Diagnoses
- Viral gastroenteritis: The patient's symptoms of nausea, vomiting, and inability to eat could be due to a viral infection.
- Food poisoning: If the patient consumed contaminated food or drinks, food poisoning could be a possible diagnosis.
- Medication side effects (Vyvanse): Although less common, Vyvanse can cause gastrointestinal side effects such as nausea and vomiting.
- Do Not Miss Diagnoses
- Appendicitis: Although less likely, appendicitis can present with nausea, vomiting, and abdominal pain, and missing this diagnosis could be catastrophic.
- Pancreatitis: Alcohol consumption can trigger pancreatitis, which can present with severe abdominal pain, nausea, and vomiting.
- Gastric ulcer or perforation: These conditions can be life-threatening and require prompt medical attention.
- Rare Diagnoses
- Inflammatory bowel disease (IBD) flare: Although less likely, IBD can present with nausea, vomiting, and abdominal pain.
- Gastrointestinal obstruction: This is a rare but possible diagnosis that could cause severe abdominal pain, nausea, and vomiting.
- Hepatitis or liver dysfunction: Although less common, hepatitis or liver dysfunction could be a possible diagnosis, especially given the patient's recent alcohol consumption.