pyloric stenosis Flashcards
1
Q
exposure to what in first few weeks of life increases chances of pyloric stenosis?
A
erythromycin
2
Q
what essentially is pyloric stenosis ?
A
muscle in pyloric sphincter region hpertrophies
3
Q
when does it present?
A
2-7 weeks of age
4
Q
what is the nature of the vomiting like?
A
PROJECTILE - hits the walls and ceilings
5
Q
is the child otherwise well?
A
yes
6
Q
management ?
A
restore fluid balance
Ramstedt pyloromyotomy – the excessive muscle is removed, but all gastric mucosa is left intact. Post-operatively the baby can usually feed normally within 24 hours of surgery
7
Q
what do you need to check for in a child with pyloric stenosis?
A
dehydration
skin turgor, sunken eyes, moist mucous membranes
