Pyloric stenosis Flashcards
(9 cards)
1
Q
pathology
A
▪ Hypertrophy and spasm in pyloric
muscle → Gastric outlet obstruction
-begins after 3 weeks of life
2
Q
vomiting type
A
▪ Non-bilious projectile
3
Q
metabolic disorder ?
A
▪ Hypochloremic Hypokalemic
metabolic alkalosis
4
Q
More common in
A
boys
5
Q
Risk factors
A
- Bottle feeding , first born child
- Macrolides [ erythromycin ]
6
Q
on Physical examination
A
- Olive sign
- Peristaltic wave After feeding
7
Q
Labs
A
- Jaundice with indirect Hyper- Bilirubinemia (icteropyloric syndrome)
- ↑BUN
8
Q
Diagnosis
A
- Best Test → US: Target like appearance- Barium swallow: String sign
[mushroom shape ]
9
Q
Treatment
A
- Before surgery: IV. Fluids and electrolyte
correction - Laparoscopic pyloromyotomy(rmstdit surgery )
