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Item C102.

Warning Signs Necessitating Further Investiga-


tion in Infants and Children Who Have Vomiting.
• Bilious emesis
• Gastrointestinal bleeding
• Failure to thrive
• Forceful or projectile emesis
• Emesis beginning after 6 mo of age
• Difficulty swallowing
• History of food allergies
• Fever
• Diarrhea
• Constipation
• Abdominal pain
• Hepatosplenomegaly
• Lethargy
• Abnormal neurologic findings
• Bulging fontanelle
• Anxiety or disordered eating
• Suspicion of genetic or metabolic disease

Reprinted with permission from Sullivan JS, Sundaram SS. Gastroesophageal reflux. Pediatr Rev.
2012;33(6):244.

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