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 |