Table 3 -- Triage of the patient with the acute onset of nausea and vomiting Findings favoring self-limited symptoms   Findings that support serious disease Younger age Family members with similar illness Myalgias, arthralgias c/w viral syndrome Nonbloody diarrhea Vertigo/motion sickness Typical migraine symptoms Associated with food ingestion Associated with medication Recent excess alcohol ingestion Early pregnancy   Older age Abdominal or chest pain Late pregnancy Bloody diarrhea Anticoagulated state Severe headache Fever Known Underlying Disease Coronary artery disease Prior GI tract surgery IBD Diabetes mellitus Gallstones Alcoholism