Flashcards in Abdominal Pain and Vomiting Deck (8):
1
What are some surgical causes of vomiting?
Malrotation and volvulus
Pyloric stenosis
Intussusception
Appendicitis
2
What is the major difference between malrotation and volvulus and pyloric stenosis?
M&R is bilious vomit
PS is projectile
3
What is the typical presentation of PS?
Male, 3-6 weeks with projectile vomiting whose hungry
4
What is the metabolic derangement in PS?
Hypochloraemia
Hypokalaemia
Metabolic alkalosis
Paradoxical aciduria
5
Why do you get paradoxical aciduria? What are the implications?
The body is trying to retain Na at the cost of H+ and K
- makes hypokalaemia and alkalosis worse
6
What is the classic examination finding for PS?
Olive mass on abdo exam - represents the thickened pylorus
7
What is the presentation of intussusception?
5-7month old
Vomiting and colicky abdo pain
8