Pyloric Stenosis Flashcards
1
Q
When does pyloric stenosis present?
A
2-7 weeks
2
Q
Presentation of pyloric stenosis?
A
Projectile vomiting in otherwise healthy child (non-bile stained)
- Typically occurring after each meal
- Increased frequency and severity as child grows
- Constant hunger
- Wt loss/poor weight gain
3
Q
What is a consequence of pyloric stenosis?
A
Hypochloraemic metabolic alkalosis with low plasma potassium
(from vomiting acid stomach contents)
4
Q
Risk factors for pyloric stenosis?
A
- Boys
- First borns
- Fam History
5
Q
Diagnosis of pyloric stenosis?
A
-Test feed:
Pyloric mass or ‘olive’ palpable in RUQ
-US
-Barium meal
6
Q
Management of pyloric stenosis?
A
- IV fluid for resuscitation and correct electrolytes
- Pyloromyotomy (muscle but not mucosa of pylorus is cut)
