Flashcards in Hypertrophic Pyloric Stenosis Deck (22)
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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
