Snapshot A 56-year-old woman presents to the emergency clinic for recurrent nausea and vomiting for the past 3 weeks. On average, these episodes occur after food intake, which the patient reports, has significantly decreased in amount as she now feels full quickly. Her past medical history is significant for poorly-controlled diabetes for the past 10 years. A physical examination demonstrates epigastric distention and tenderness with no peritoneal signs. Introduction Clinical definition login to view 6 more bullets Epidemiology Demographics login to view 2 more bullets Risk factors login to view 2 more bullets ETIOLOGY Pathogenesis login to view 7 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 3 more bullets Studies Diagnostic testing login to view 13 more bullets Differential Psychiatric disease login to view 3 more bullets Cyclic vomiting syndrome login to view 3 more bullets Treatment First-line login to view 9 more bullets Second-line login to view 4 more bullets Complications Electrolyte imbalance Malnutrition