Pyloric Stenosis Flashcards
1
Q
Defin
A
Infantile hypertrophic pyloric stenosis (HPS) is hypert of pyloric sphincter so narrow pyloric canal.
Comm cause of gastric outlet obstruc in 2-12wk.
2
Q
px
A
Usually in forst born 3-6wk old males
Progressive projectile vom, non bilious
Feeding intol, multiple formula changes
Fail to thrive/ weight loss/ vol depletion
Olive shape mass RUQ
Tachyc, decr wet nappies, dehyd (sunken fontanelle, lethargy)
Less poop
3
Q
ix
A
USS- pyloric channel length over 17mm, pyloric musc thickness over 4mm
Bloods for dehyd
Test feed and feel for bulge
4
Q
Mx
A
Fluids
Pylorotomy
5
Q
RFs
A
Preterm
First born male
Fam hx
Early eryhtromycin exposure
