Pyloric stenosis refers to a congenital disorder that is characterized by the narrowing of the opening of the stomach to the duodenum.
WHAT MAKES US SUSPECT IT?
- Vomiting after feedings in a newborn.
Vital signs may reveal poor weigh gain.
General signs of dehydration:
- Sunken in fontanel
- Increased skin turgor
- Palpable olive shaped mass in right upper quadrant.
History Of Present Illness:
Type of vomiting: forceful/projective vomiting
Quality of vomitus: typically non-bilious/non-bloody
Serum studies may reveal the presence of hypokalemic metabolic alkalosis.
Abdominal ultrasound can be used to diagnose the pyloric stenosis.
- Intravenous rehydration
- Pyloromyotomy is the treatment of choice. Surgery is often needed to correct this issue.
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Page Updated: 11.06.2016