Rome IV Diagnostic Criteria for Child Cyclic Vomiting Syndrome
Official Rome IV criteria for the diagnosis of child cyclic vomiting syndrome.
INSTRUCTIONS
Use in patients with symptoms suggestive of cyclic vomiting such as intense, paroxysmal, stereotypical episodes of vomiting, separated by weeks or months of usual health.
Patients with any of the following alarm features must be evaluated clinically for other diagnoses even though cyclic vomiting may be present:
- Severe abdominal pain.
- Persistent right upper or right lower quadrant pain.
- Pain radiating to the back.
- Dysphagia or odynophagia.
- Persistent or bilious vomiting.
- Gastrointestinal blood loss.
- Chronic, unexplained or nocturnal diarrhea.
- Involuntary weight loss.
- Deceleration of linear growth.
- Delayed puberty.
- Recurrent or unexplained fever.
- Dysuria or hematuria.
- Personality changes.
- Severe headaches.
- Ataxia.
- Altered mental status.
- Any neurologic abnormality.
When to Use
Pearls/Pitfalls
Why Use
Diagnostic Result:
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Evidence
Creator Insights
- Beate Beinvogl, MD, MPH
- Samuel Nurko, MD, MPH
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