💡 Vomiting + Pain WITHOUT Diarrhea = Think Surgery

True gastroenteritis typically includes diarrhea. Its absence is significant.

With diarrhea: Gastroenteritis likely (medical)
WITHOUT diarrhea: Surgical cause likely
• Appendicitis
• Obstruction
• Intussusception

The absence of diarrhea should INCREASE your suspicion, not lower it.

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