--- title: "What's your Medical Diagnosis: intractable vomiting" description: Test your medical diagnosis skills with a patient case by NEJM. Compare your answer to the Isabel clinical diagnosis tool. image: https://info.isabelhealthcare.com/hs-fs/file-17422300-jpg/images/images-1-resized-600.jpg --- September 21, 2012 # What's your Medical Diagnosis: intractable vomiting The [Isabel diagnosis ](https://info.isabelhealthcare.com/blog/bid/130115/demo-request/)tool touts an extensive database of conditions for differential diagnosis support, and we often will test its accuracy with real patient cases from the New England Journal of Medicine. ## About the Isabel Diagnosis Challenge The [**New England Journal of Medicine**](http://content.nejm.org/) (NEJM) publishes interesting presentations of common diseases and unusual cases in the Clinical pathology Conference (CPC) series. These cases are educational and can pose diagnostic challenges even to the expert physicians at the Massachusetts General Hospital. [![New England Journal of Medicine](https://info.isabelhealthcare.com/hs-fs/file-17422300-jpg/images/images-1-resized-600.jpg?width=48&height=48&name=images-1-resized-600.jpg)](http://nejm.org/)Using the clinical features of these cases you can evaluate your own diagnostic skills and compare your diagnostic performance to that of the physicians at MGH. If you are registered with Isabel as a client or have a free-trial subscription, you can use the diagnosis reminder system and run through some scenarios to get a list of likely suspects. Clicking on a diagnosis will take you through to various knowledge sources and links available from within Isabel. Case 2012:#22. ## Today's Case **Demographic**: Male, 34 years, North America **Clinical features extracted from the case and entered into the query box:** - severe vomiting - abdominal pain - nausea - diarrhea **STOP! Before reading further, construct your own: Final diagnosis** ![Case 22 2012 resized 600](https://info.isabelhealthcare.com/hs-fs/file-17418399-gif/images/case_22_2012-resized-600.gif) **Final Diagnosis of the case according to NEJM:** Antimony poisoning due to ingestion of tartar emetic (antimony potassium tartrate). **Was the final diagnosis given by Isabel:** Yes, Drug overdose/poisoning in Toxicology [![Get the Isabel White Paper](https://no-cache.hubspot.com/cta/default/133692/5ed1565e-817a-4a06-b201-89406577e833.png)](https://cta-redirect.hubspot.com/cta/redirect/133692/5ed1565e-817a-4a06-b201-89406577e833) [![Share on Facebook](https://static.hubspot.com/final/img/common/icons/social/facebook-24x24.png)](http://www.facebook.com/share.php?u=https%3A%2F%2Finfo.isabelhealthcare.com%2Fblog%2Fmedical-diagnosis-intractable-vomiting%3Futm_medium%3Dsocial%26utm_source%3Dfacebook) [![Share on LinkedIn](https://static.hubspot.com/final/img/common/icons/social/linkedin-24x24.png)](http://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Finfo.isabelhealthcare.com%2Fblog%2Fmedical-diagnosis-intractable-vomiting%3Futm_medium%3Dsocial%26utm_source%3Dlinkedin) [![Share on Twitter](https://static.hubspot.com/final/img/common/icons/social/twitter-24x24.png)](https://twitter.com/intent/tweet?original_referer=https%3A%2F%2Finfo.isabelhealthcare.com%2Fblog%2Fmedical-diagnosis-intractable-vomiting%3Futm_medium%3Dsocial%26utm_source%3Dtwitter&url=https%3A%2F%2Finfo.isabelhealthcare.com%2Fblog%2Fmedical-diagnosis-intractable-vomiting%3Futm_medium%3Dsocial%26utm_source%3Dtwitter&source=tweetbutton&text=What%27s%20your%20Medical%20Diagnosis%3A%20intractable%20vomiting) ### Subscribe Here! ### Recent Posts ### [Meningococcal Infections: The Ongoing Need for Early Diagnosis in the UK (2026 Update)](https://info.isabelhealthcare.com/blog/meningococcal-infections-the-ongoing-need-for-early-diagnosis-in-the-uk-2026-update) Meningococcal infections (including meningococcal meningitis, meningococcal septicaemia, and.. ### [Isabel DDx Companion with ChatGPT Integration - to help you diagnose even faster](https://info.isabelhealthcare.com/blog/introducing-isabel-ddx-companion-with-llm-for-clinicians) At Isabel Healthcare, we’ve always been driven by one goal: to make clinical reasoning faster,.. ### List Of Categories - [Differential Diagnosis Decision Support](https://info.isabelhealthcare.com/blog/topic/differential-diagnosis-decision-support) - [Differential diagnosis](https://info.isabelhealthcare.com/blog/topic/differential-diagnosis) - [Symptom Checker](https://info.isabelhealthcare.com/blog/topic/symptom-checker) - [Symptoms](https://info.isabelhealthcare.com/blog/topic/symptoms) - [Patient Disease Information](https://info.isabelhealthcare.com/blog/topic/patient-disease-information) - [Medical Error](https://info.isabelhealthcare.com/blog/topic/medical-error) - [Disease](https://info.isabelhealthcare.com/blog/topic/disease) - [Clinical Decision Support](https://info.isabelhealthcare.com/blog/topic/clinical-decision-support) - [Diagnostic Decision Support](https://info.isabelhealthcare.com/blog/topic/diagnostic-decision-support) - [Isabel 1 Minute Read](https://info.isabelhealthcare.com/blog/topic/isabel-1-minute-read) - [Diagnosis Error](https://info.isabelhealthcare.com/blog/topic/diagnosis-error) - [Diagnosis Skills Cases](https://info.isabelhealthcare.com/blog/topic/diagnosis-skills-cases) - [Healthcare Informatics](https://info.isabelhealthcare.com/blog/topic/healthcare-informatics) - [Clinical Reasoning](https://info.isabelhealthcare.com/blog/topic/clinical-reasoning) - [Evidence-based Medicine](https://info.isabelhealthcare.com/blog/topic/evidence-based-medicine) - [Medical Education](https://info.isabelhealthcare.com/blog/topic/medical-education) - [Patient Engagement](https://info.isabelhealthcare.com/blog/topic/patient-engagement) - [Symptom Triage](https://info.isabelhealthcare.com/blog/topic/symptom-triage) - [Nurse Practitioner Education](https://info.isabelhealthcare.com/blog/topic/nurse-practitioner-education) - [Nursing Decision Support](https://info.isabelhealthcare.com/blog/topic/nursing-decision-support) - [Partnership](https://info.isabelhealthcare.com/blog/topic/partnership) - [Public Health](https://info.isabelhealthcare.com/blog/topic/public-health) - [COVID-19](https://info.isabelhealthcare.com/blog/topic/covid-19) - [EHR](https://info.isabelhealthcare.com/blog/topic/ehr) - [Patient Empowerment](https://info.isabelhealthcare.com/blog/topic/patient-empowerment) - [Patient Safety](https://info.isabelhealthcare.com/blog/topic/patient-safety) - [rare disease](https://info.isabelhealthcare.com/blog/topic/rare-disease) ![CTA_Blog_image](https://info.isabelhealthcare.com/hubfs/CTA%20image.jpg) ## Start your FREE Trial today Try the Isabel Pro DDx generator for 30-days - no payment card details required.  [Try it Now ](https://www.isabelhealthcare.com/home/pricing) - [![facebook](https://www.isabelhealthcare.com/assets/home/fb-e4c2ff7015119ef0f67fb1f8ca2a631e4d2b186be6bbe6fa773f30c2b8de9a87.png)](https://www.facebook.com/isabelhealthcare/) - [![linkedin](https://www.isabelhealthcare.com/assets/home/in-d5a6549a505052a68f4acc5a9e253392d679d854fd9fb370b85de1a0932dc0ae.png)](https://www.linkedin.com/company/isabel-healthcare) - [![twitter](https://www.isabelhealthcare.com/assets/home/twitter_x-392989d145f2d4d1a07ba6247d30d63dc446139a774a2815194ad7789743d657.png)](https://twitter.com/IsabelHealth) - [![youtube](https://www.isabelhealthcare.com/assets/home/youtube-e851be3819ac351ca0d22f0213e30db55213dc94c261d024d09601910478dc22.png)](https://www.youtube.com/user/IsabelHealthcare100) - [Privacy Policy](https://uk.isabelhealthcare.com/privacy-policy) - [Terms & Conditions](https://uk.isabelhealthcare.com/terms-conditions) - [Contact us](https://uk.isabelhealthcare.com/contact-isabel-healthcare) - ©Isabel Healthcare 2025 ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Megan Pennie", "url" : "https://info.isabelhealthcare.com/blog/author/megan-pennie" }, "dateModified" : "2021-03-19T21:46:50.198Z", "datePublished" : "2012-09-21T15:46:00.000Z", "headline" : "What's your Medical Diagnosis: intractable vomiting", "image" : [ "https://info.isabelhealthcare.com/hs-fs/file-17422300-jpg/images/images-1-resized-600.jpg" ], "mainEntityOfPage" : { "@id" : "https://info.isabelhealthcare.com/blog/medical-diagnosis-intractable-vomiting", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://info.isabelhealthcare.com/hubfs/new%20PRO%20logo%20blue%20small.png" }, "name" : "Isabel Healthcare" } } ```