TABLE 3

Concerning Symptoms and Signs (“Warning Signs” in Figures) for Primary Etiologies Presenting With Vomiting

Bilious vomiting
GI tract bleeding
 Hematemesis
 Hematochezia
Consistently forceful vomiting
Fever
Lethargy
Hepatosplenomegaly
Bulging fontanelle
Macro/microcephaly
Seizures
Abdominal tenderness or distension
Documented or suspected genetic/metabolic syndrome
Associated chronic disease