Polishing 2.0

Question 1

Aetiology, diagnosis, complications and treatment of pyloric stenosis

Answer 1

• Aetiology: narrowing of the pylorus of the stomach (part that connects to the duodenum)
• Diagnosis: imaging (x-ray/ultrasound) +/- blood tests to check for electrolyte imbalance
• Complications: dehydration, electrolyte imbalance
• Treatment: surgically treated

Question 2

Constitutional small baby vs slow weight gain. Corresponding management?

Answer 2

• Constitutional small baby is when the baby is still meeting all milestones, but it small. They may require more frequent monitoring (consider size of parents, ethnicity etc)
• Slow weight gain is when baby’s gain weight abnormally slowly, even taking into account ethnicity etc. Here, we assess nutritional intake, absorptive disorders, neglect, or excessive caloric utilisation