Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: July 23, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for a 28 YOM with Severe Vomiting

Single Most Likely Diagnosis

  • Gastroenteritis: This is a common cause of severe vomiting, and the presence of bile in the vomit suggests an obstruction or ileus. The constipation and lack of bowel movement for 2 days further support this diagnosis. The recent history of cardiac ablation is less likely to be directly related to the current symptoms.

Other Likely Diagnoses

  • Intestinal Obstruction: The symptoms of severe vomiting, constipation, and lack of bowel movement are consistent with an intestinal obstruction. This could be due to various causes such as adhesions, hernias, or volvulus.
  • Mesenteric Ischemia: Although less common, mesenteric ischemia can cause severe vomiting, abdominal pain, and constipation. The patient's history of cardiac ablation and WPW may increase the risk of thromboembolic events.
  • Food Poisoning: Food poisoning can cause severe vomiting, and the presence of bile in the vomit does not rule out this diagnosis.

Do Not Miss Diagnoses

  • Appendicitis: Although the symptoms are not typical, appendicitis can present with vomiting and constipation. Missing this diagnosis could lead to severe consequences, including perforation and peritonitis.
  • Myocardial Infarction: Although the patient has a history of cardiac ablation, myocardial infarction can still occur. Vomiting can be a symptom of MI, especially in younger patients.
  • Pulmonary Embolism: The patient's history of cardiac ablation and WPW may increase the risk of thromboembolic events, including pulmonary embolism. Severe vomiting can be a symptom of PE.

Rare Diagnoses

  • Porphyria: This is a rare genetic disorder that can cause severe vomiting, abdominal pain, and constipation.
  • Cyclic Vomiting Syndrome: This is a rare condition characterized by recurrent episodes of severe vomiting, often with no apparent cause.
  • Neurological Disorders: Certain neurological disorders, such as brain tumors or meningitis, can cause severe vomiting. However, these are less likely given the patient's presentation and history.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.