Hypertrophic Pyloric Stenosis Flashcards
(22 cards)
when does this occur
they pyloric sphincter thickens
where does this occur
between the stomach & small intestine
at which age does this develop
first 2-5 weeks
s/s
projectile vomiting
metabolic alkalosis
growth failure
what is the incidence of this occurring
1-3 in every 1000 births
what are some risk factors
genetics full term infants white infants first born children males 5x more likely
what is felt when palpating the abdomen
olive-like mass in RUQ
when does vomiting usually occur
30-60 mins after feeding
projectile
when is the olive-like mass palpable
when stomach is empty
what would an ultrasound show
fistula
which lab would be low
chloride
which labs would be high
pH
bicarb
BUN
why would the pt be dehydrated
fluid not reaching intestines to be absorbed
which med is given for management of symptoms
Reglan
which surgery provides relief of the obstruction
pyloromyotomy
how is a pyloromyotomy done
laparoscopic
a pyloromyotomy is an incision through
muscle fibers
not submucosa
what does the emesis consist of
curdled milk
at which age does this usually begin
2-8 weeks
what can be seen on the abdomen
peristaltic waves
how soon post op can oral feeds be started and what are they
6-24 hours
clear liquids
how soon post op are they back to full feeds
48 hours
