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Segments - Summary of Profit by Segments and Reconciliation of Segments Profit to Consolidated Income Before Income Taxes (Detail) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Amounts allocated to segments:    
Segment profit $ 1,525 $ 895
Amounts not allocated to segments:    
Amortization 310 320
Other asset Impairments, restructuring and other items 707 240
Goodwill impairment 180  
Gain on divestitures, net of divestitures related costs (93)  
Inventory step-up   64
Other R&D expenses 22  
Costs related to regulatory actions taken in facilities 1 34
Legal settlements and loss contingencies (1,278) 20
Other unallocated amounts 61 48
Consolidated operating income 1,525 895
Financial expenses, net 271 207
Consolidated income before income taxes 1,254 688
North America [Member]    
Amounts allocated to segments:    
Segment profit 915 1,306
Amounts not allocated to segments:    
Consolidated operating income 915 1,306
Europe [Member]    
Amounts allocated to segments:    
Segment profit 377 268
Amounts not allocated to segments:    
Consolidated operating income 377 268
Growth Markets [Member]    
Amounts allocated to segments:    
Segment profit 122 40
Amounts not allocated to segments:    
Consolidated operating income 122 40
Corporate Segment [Member]    
Amounts allocated to segments:    
Segment profit 1,414 1,614
Amounts not allocated to segments:    
Consolidated operating income 1,414 1,614
Other Segments [Member]    
Amounts allocated to segments:    
Segment profit 21 7
Amounts not allocated to segments:    
Consolidated operating income 21 7
Segments and Other Activities [Member]    
Amounts allocated to segments:    
Segment profit 1,435 1,621
Amounts not allocated to segments:    
Consolidated operating income $ 1,435 $ 1,621