Pyloric Stenosis
Epidemiology
Presents 3-8weeks, 4 in 1000 live births, M>F (4: 1)
Clinical Features
Projectile vomiting minutes after each feed (non-billous, could be blood stained), irritable, malnourished and always hungry, olive shaped pyloric mass palpable, visible gastric peristalsis that starts in LUQ, hypokalemic hypochloraemic metabolic alkalosis
Investigations
Imaging: USS
Management
NGT, IV fluids if severely dehydrated, correct electrolyte imbalance, refer to paeds/ paeds surg, SURGERY!
Source
OHCM 9th Ed 2014
Harrisons 18th Ed 2012
Toronto Notes 2012
Presents 3-8weeks, 4 in 1000 live births, M>F (4: 1)
Clinical Features
Projectile vomiting minutes after each feed (non-billous, could be blood stained), irritable, malnourished and always hungry, olive shaped pyloric mass palpable, visible gastric peristalsis that starts in LUQ, hypokalemic hypochloraemic metabolic alkalosis
Investigations
Imaging: USS
Management
NGT, IV fluids if severely dehydrated, correct electrolyte imbalance, refer to paeds/ paeds surg, SURGERY!
Source
OHCM 9th Ed 2014
Harrisons 18th Ed 2012
Toronto Notes 2012