Hypertrophic Pyloric Stenosis Flashcards Preview

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Flashcards in Hypertrophic Pyloric Stenosis Deck (22):
1

when does this occur

they pyloric sphincter thickens

2

where does this occur

between the stomach & small intestine

3

at which age does this develop

first 2-5 weeks

4

s/s

projectile vomiting
metabolic alkalosis
growth failure

5

what is the incidence of this occurring

1-3 in every 1000 births

6

what are some risk factors

genetics
full term infants
white infants
first born children
males 5x more likely

7

what is felt when palpating the abdomen

olive-like mass in RUQ

8

when does vomiting usually occur

30-60 mins after feeding
projectile

9

when is the olive-like mass palpable

when stomach is empty

10

what would an ultrasound show

fistula

11

which lab would be low

chloride

12

which labs would be high

pH
bicarb
BUN

13

why would the pt be dehydrated

fluid not reaching intestines to be absorbed

14

which med is given for management of symptoms

Reglan

15

which surgery provides relief of the obstruction

pyloromyotomy

16

how is a pyloromyotomy done

laparoscopic

17

a pyloromyotomy is an incision through

muscle fibers
not submucosa

18

what does the emesis consist of

curdled milk

19

at which age does this usually begin

2-8 weeks

20

what can be seen on the abdomen

peristaltic waves

21

how soon post op can oral feeds be started and what are they

6-24 hours
clear liquids

22

how soon post op are they back to full feeds

48 hours