Pyloric Stenosis Flashcards
1
Q
What is the commonest metabolic abnormality in pyloric stenosis and why?
A
Hypochloraemic hypokalaemic alkalosis
Loss of stomach acid in vomiting –> results in reduction of potassium because of stimulation of H/K pump. Alkalosis and hypochloraemia because loss of acid.
2
Q
Definitive treatment for pyloric stenosis?
A
Ramstedt pyloromyotomy
3
Q
Definitive Ix for pyloric stenosis and what will you see?
A
USS.
1) Thickened elongated pyloric muscle
2) Increased muscle to lumen ratio
3) Decreased movement of fluid through the canal
4
Q
1st line investigation?
A
Test feed –> can feel enlarged pylorus
