PYLORIC STENOSIS Flashcards
1
Q
A condition characterized by the narrowing of the pyloric
canal due to hypertrophy of the pylorus muscles.
A
Pyloric Stenosis
2
Q
causes
A
idiopathic, pissibly familial
3
Q
occurs how many weeks
A
2 weeks onwards
4
Q
Symptoms of Pyloric Stenosis
A
- Projectile, non-bilious vomiting
- hunger and irritability
- olive-shaped mass in the epigastrium
- Dehydration and malnutrition
- Distended upper ABD
5
Q
TREATMENT
A
pyloromyotomy
6
Q
An incision through the muscle fibers of the pylorus that may be performed by laparoscopy
A
Pyloromyotomy
7
Q
DX. TEST
A
- ABG- meta-alka
- Electrolyte decrease[Na, K, Cl]
- ABD ultrasound [fx and narrowing can be seen]
- x-ray [pic only]
8
Q
Projective vomiting positioning
A
3-4ft. = SIDE
4ft. = PRONE
1ft. = SUPINE
9
Q
s/sx
A
- PROJECTILE VOMITING
- PERISTALTIC WAVE L-R
- PALPABLE OLIVE SHAPED MASS
- FAILURE TO THRIVE
- INCREASE ICP
10
Q
Increase ICP
A
Early:
* Restlessness and confusion
* Headache and vomiting
* Projectile vomiting
11
Q
Increase ICP - VS
A
- Increasing Temp
- increasingBP
- decreasing PR
- decreasing RR
12
Q
patho
A
hypertrophy of pyloric sphincter > narrowing of pylorus muscle> obstruction > increase pressure >
1. projectile vomiting
2. increase peristaltic movement [left to right]
