Table 3.
Diagnostic tests for ruling out conditions in the differential diagnosis with Cyclic Vomiting Syndrome (CVS).
Condition | Diagnostic testing |
---|---|
GASTROINTESTINAL DISORDERS | |
Peptic ulcer disease | Upper GI endoscopy |
Gastroparesis | Scintigraphic gastric emptying study |
Hepatitis | Abdominal Ultrasound |
Pancreatitis | Abdominal Ultrasound |
Cholecystitis | Abdominal Ultrasound |
Biliary tract anomalies | Hepatobiliary scintigraphy, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography |
Malrotation with volvulus, postoperative adhesions/strictures | Upper gastrointestinal series with small bowel follow through, abdominal CT scans, upper GI endoscopy |
Chronic intestinal pseudo-obstruction | Plain abdominal X-ray, upper GI series with small bowel follow through, antroduodenal manometry |
EXTRA-INTESTINAL DISORDERS | |
Central nervous system | |
Mass | Brain MRI, Brain CT |
Hydrocephalus | Brain MRI, Brain CT |
Subdural hematoma | Brain CT |
Autonomic seizures | EEG |
Renal Disorders | |
Uretero-pelvic junction obstruction | Abdominal Ultrasound |
Nephrolithiasis | Abdominal Ultrasound, abdominal CT |