Bilious vomiting
ICD-10 R11.14 is a billable code used to indicate a diagnosis of bilious vomiting.
Bilious vomiting refers to the expulsion of vomitus that contains bile, which is a digestive fluid produced by the liver. This condition often indicates an obstruction in the gastrointestinal tract, particularly in the small intestine, where bile cannot pass through normally. The vomitus typically appears greenish-yellow due to the presence of bile. Bilious vomiting can be associated with various underlying conditions, including bowel obstructions, pancreatitis, or severe gastroenteritis. Patients may present with additional symptoms such as abdominal pain, distension, and dehydration. Clinical evaluation often includes a thorough history and physical examination, along with imaging studies like X-rays or CT scans to identify any obstructions or other abnormalities. Laboratory tests may also be performed to assess electrolyte imbalances or signs of infection. Understanding the underlying cause of bilious vomiting is crucial for appropriate management and treatment.
Detailed history of vomiting episodes, associated symptoms, and any prior treatments.
Patients presenting with abdominal pain and vomiting, requiring differential diagnosis for gastrointestinal disorders.
Ensure documentation reflects the severity and frequency of vomiting, as well as any relevant lab findings.
Acute care notes must include vital signs, initial assessment, and any immediate interventions performed.
Patients with acute abdominal pain and bilious vomiting, often requiring rapid imaging and treatment.
Document the timeline of symptoms and any changes in patient condition during the emergency visit.
Used when a patient presents with bilious vomiting and requires moderate medical decision-making.
Document the patient's history, examination findings, and any treatments provided.
Emergency medicine providers should ensure that the visit reflects the acute nature of the presentation.
Bilious vomiting specifically refers to vomiting that contains bile, which is typically greenish-yellow. Other types of vomiting may not contain bile and can be due to different underlying causes.
