Differential Diagnosis for Vomiting with Transaminitis
- Single Most Likely Diagnosis
- Viral hepatitis: This is a common cause of transaminitis and can lead to vomiting due to the systemic effects of the infection.
- Other Likely Diagnoses
- Gastroenteritis: Inflammation of the stomach and intestines can cause vomiting and elevated liver enzymes due to the systemic response to infection.
- Medication-induced liver injury: Many medications can cause liver damage, leading to transaminitis, and may also cause vomiting as a side effect.
- Alcoholic liver disease: Excessive alcohol consumption can lead to liver damage, causing transaminitis and vomiting.
- Do Not Miss Diagnoses
- Acetaminophen overdose: This is a medical emergency that can cause severe liver damage and transaminitis, often presenting with vomiting.
- Budd-Chiari syndrome: A rare condition where blood clots form in the hepatic veins, causing liver damage and potentially life-threatening complications if not promptly treated.
- Wilson's disease: A genetic disorder that can cause liver damage and neurological symptoms, requiring early diagnosis and treatment to prevent long-term damage.
- Rare Diagnoses
- Autoimmune hepatitis: A chronic condition where the immune system attacks the liver, causing inflammation and damage.
- Primary biliary cholangitis: A chronic liver disease that causes progressive damage to the bile ducts, leading to liver damage and potentially cirrhosis.
- Hemochromatosis: A genetic disorder that causes excessive iron absorption, leading to liver damage and potentially other systemic complications.