DiagnosisHypertrophicSmall intestineDuodenal atresiaEndoscopySymptomsInfantileGastricPylorus thickensDuodenumAbdominalIngestionIntussusceptionInfantsObstructionCongenitalLiverAntralAcuteDehydrationGastrointestinalSyndromeCysticPalpationAbdomenBabiesRenalAffectsTumorClinicalRevealSuccessfullyHistoryUnremarkableStomachSurvivalSevereExamOral examinationTreatment
Diagnosis6
- Careful physical examination provides a definitive diagnosis for most infants with hypertrophic pyloric stenosis. (medscape.com)
- The diagnosis is easily made if the presenting clinical features are typical, with projectile vomiting, visible peristalsis, and a palpable pyloric tumor. (medscape.com)
- Diagnosis is via a careful history and physical examination, often supplemented by radiographic imaging studies. (wikipedia.org)
- This article outlines the causes and symptoms of pyloric stenosis, along with information on diagnosis and treatment. (medicalnewstoday.com)
- Diagnosis often starts with a physical examination of the abdomen that may reveal an olive-shaped lump or an enlarged pyloric muscle and peristaltic waves. (laparoscopicsolutions.in)
- After obtaining the history and performing the physical examination, the clinician will often have a 'gut feeling' as to the most likely diagnosis. (dvm360.com)
Hypertrophic10
- Hypertrophic pyloric stenosis (HPS) causes a functional gastric outlet obstruction as a result of hypertrophy and hyperplasia of the muscular layers of the pylorus. (medscape.com)
- In infants, hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction and the most common surgical cause of vomiting. (medscape.com)
- The classic biochemical abnormality in hypertrophic pyloric stenosis is hypochloremic, hypokalemic metabolic alkalosis. (medscape.com)
- Hypertrophic pyloric stenosis is the most common condition requiring surgery in infancy. (medscape.com)
- [ 5 ] Surgical repair of hypertrophic pyloric stenosis is fairly straightforward and without many complications. (medscape.com)
- [ 1 , 2 ] Further studies have reported this association along with an increased risk of developing infantile hypertrophic pyloric stenosis following the ingestion of erythromycin and azithromycin, especially in the first 14 days of life. (medscape.com)
- jaundice with hypertrophic pyloric stenosis as an early manifestation of Gilbert syndrome . (lookfordiagnosis.com)
- These results suggest that jaundice associated with hypertrophic pyloric stenosis is due to molecular defects within the gene promoter. (lookfordiagnosis.com)
- The development of hypertrophic pyloric stenosis in a patient with prostaglandin-induced foveolar hyperplasia . (lookfordiagnosis.com)
- Hirschprung disease, hypertrophic stenosis of pylorus and intestinal obstructions were ruled out. (tam-receptor.com)
Small intestine5
- Pyloric stenosis is a narrowing of the opening from the stomach to the first part of the small intestine (the pylorus). (wikipedia.org)
- Pyloric stenosis is a rare condition that occurs when the passage between the stomach and the small intestine narrows. (medicalnewstoday.com)
- Infants with pyloric stenosis can have difficulty emptying their bowels since a reasonable quantity of food and water is not reaching the small intestine. (medicalnewstoday.com)
- Pyloric stenosis is rare infant condition that blocks food from entering the small intestine. (laparoscopicsolutions.in)
- But in pyloric stenosis, the pylorus thickens and gets enlarged causing blockage of food from entering the small intestine. (laparoscopicsolutions.in)
Duodenal atresia1
- These may include duodenal atresia, pyloric stenosis or imperforate anus. (allhealth.com.au)
Endoscopy4
- The patient was referred to a pediatric gastroenterologist, who performed an upper endoscopy and subsequently diagnosed a pyloric channel stricture. (lookfordiagnosis.com)
- We report a case of mucin-secreting biliary neoplasm of the ampulla of Vater diagnosed peroperatively because of unsuccessful endoscopy due to pyloric stenosis, and successfully treated with transduodenal local excision. (ispub.com)
- Upper gastrointestinal endoscopy failed to examine the second part of the duodenum and the ampulla of Vater due to pyloric stenosis. (ispub.com)
- The other points to remember are to always repeat the abdominal palpation carefully at each recheck examination, and always palpate the abdomen when the patient is anesthetized (e.g. for endoscopy, oral examination, etc. (dvm360.com)
Symptoms7
- Babies with pyloric stenosis often have no symptoms at birth. (medicalnewstoday.com)
- If an infant shows any signs or symptoms that could indicate pyloric stenosis, their caregiver should immediately contact a pediatrician . (medicalnewstoday.com)
- You may notice pyloric stenosis signs and symptoms in your baby within three to five weeks after birth. (momjunction.com)
- The signs and symptoms of pyloric stenosis in babies include the following (1) . (momjunction.com)
- Seek medical care if your baby has signs and symptoms of pyloric stenosis. (momjunction.com)
- This exam aims to rule out specific physical conditions that could be causing the symptoms. (unitedbrainassociation.org)
- Which of the following other symptoms would mostly likely point to pyloric stenosis? (assignmentwritingpro.com)
Infantile1
- Rarely, infantile pyloric stenosis can occur as an autosomal dominant condition. (wikipedia.org)
Gastric3
- citation needed] Most cases of pyloric stenosis are diagnosed/confirmed with ultrasound, if available, showing the thickened pylorus and non-passage of gastric contents into the proximal duodenum. (wikipedia.org)
- Gastric contents should not be seen passing through the pylorus because if it does, pyloric stenosis should be excluded and other differential diagnoses such as pylorospasm should be considered. (wikipedia.org)
- Pyloric stenosis, also referred to as gastric outlet obstruction, occurs due to the thickening of the pylorus, but the exact cause behind it is unknown (2) . (momjunction.com)
Pylorus thickens1
- Initially, a baby with pyloric stenosis may vomit a little, but as the pylorus thickens, the vomiting becomes forceful. (medicalnewstoday.com)
Duodenum1
- The narrowing of the pylorus (opening from the stomach into the duodenum) is called pyloric stenosis. (momjunction.com)
Abdominal9
- The pediatrician will perform a physical examination to check if an abdominal mass around the size of an olive is present in the child's upper abdomen. (medicalnewstoday.com)
- Although an essential component of all routine physical examinations, the physical examination of the abdomen is the key step in the evaluation of abdominal complaints such as pain, distension, enlarged organs, or masses. (medscape.com)
- The most common reason for performing a focused examination is to identify the etiology of abdominal pain, which can be subdivided into visceral, somatoparietal, or referred. (medscape.com)
- Although the abdominal examination has been a well described and fundamental component of a systematic diagnostic evaluation since antiquity, its role in modern medicine is being minimized. (medscape.com)
- A large cross-sectional study has proposed a scoring system that would utilize a few standard screening laboratories in conjunction with a detailed physical examination to decrease the number of pediatric CT scans after blunt abdominal trauma. (medscape.com)
- [ 6 ] With the decreased utilization of routine abdominal examination in clinical medicine in the twenty-first century, there has been a decreased emphasis on teaching these skills. (medscape.com)
- On physical examination, epigastric tenderness and severe abdominal distension were noted. (scipedia.com)
- Your veterinarian will perform a physical examination, which will include a thorough check inside the mouth and abdominal palpitation. (cat-world.com)
- Pyloric stenosis presents with non-bilious and projectile vomiting with a palpable mass on abdominal exam. (thepalife.com)
Ingestion1
- That includes tumours, hernias, twisted or telescoped intestines, ingestion of foreign objects and pyloric stenosis. (cat-world.com)
Intussusception1
- The veterinarian can also monitor the transit time of the barium during this procedure and evaluate for telescoping of the intestines, pyloric stenosis or intussusception. (cat-world.com)
Infants5
- Infants with pyloric stenosis can have problems gaining and maintaining weight. (medicalnewstoday.com)
- Male infants are 4 times more likely to have pyloric stenosis than females. (medicalnewstoday.com)
- Pyloric stenosis is more common among firstborn infants, accounting for 30-40% of all cases. (medicalnewstoday.com)
- According to the Centers for Disease Control and Prevention (CDC) , pyloric stenosis is more common in white infants and less common in non-Hispanic Asian and non-Hispanic Black infants. (medicalnewstoday.com)
- The onset of pyloric stenosis is rare in infants older than three months. (momjunction.com)
Obstruction1
- The vomited material does not contain bile because the pyloric obstruction prevents entry of duodenal contents (containing bile) into the stomach. (wikipedia.org)
Congenital3
- It is uncertain whether it is a congenital anatomic narrowing or a functional hypertrophy of the pyloric sphincter muscle. (wikipedia.org)
- With severe dehydration, potassium levels may be elevated (eg, congenital adrenal hyperplasia , acute kidney injury) or low (eg, pyloric stenosis, alkalosis). (medscape.com)
- Additional multisystem involvement is reported, including in the cardiovascular (congenital heart defects, pericardial effusion, constrictive pericarditis, restrictive cardiomyopathy, and hypertension), respiratory (choanal stenosis, laryngotracheal stenosis, and restrictive pulmonary disorder), and gastrointestinal (pyloric stenosis and duodenal stricture) systems [ 3 ]. (e-apem.org)
Liver1
- Physical examination was unremarkable and routine blood assessment of liver and pancreatic functions were normal. (biomedcentral.com)
Antral2
- It is felt that the pyloric stricture developed from healing antral/pyloric channel ulcers. (lookfordiagnosis.com)
- The acquired (adult) Acute gastritis is a transient acute inflammatory involvement pyloric stenosis is expounded to antral gastritis, and tumours in of the abdomen, mainly mucosa. (ehd.org)
Acute1
- [ 1 ] Cope's classic treatise on the acute abdomen remains an excellent resource for a comprehensive explanation of performing the examination in adults and integrating it into patient care. (medscape.com)
Dehydration1
- At the proper period of entrance, physical examination demonstrated severe dehydration, serious failing to thrive without organomegaly and low quality fever with minor diarrhea. (tam-receptor.com)
Gastrointestinal2
- Because of the rarity of this disease, common gastrointestinal complaints may mislead the emergency physician to diagnose a nonsurgical gastrointestinal disease if a detailed history and physical examinations are not obtained. (scipedia.com)
- An example of a fluoroscopic examination is the esophogram and upper gastrointestinal series. (pressbooks.pub)
Syndrome2
- Pyloric stenosis syndrome, endoscopic biopsy done. (controllab.com)
- Which of the following is a characteristic physical sign of fragile X syndrome in adolescent males? (assignmentwritingpro.com)
Cystic1
- Pyloric channel stricture secondary to high-dose ibuprofen therapy in a patient with cystic fibrosis . (lookfordiagnosis.com)
Palpation2
- On physical exam, palpation of the abdomen may reveal a mass in the epigastrium. (wikipedia.org)
- The examination is conducted in a predetermined sequence starting from observation and then sequentially performing auscultation, palpation, and percussion (see images below) followed by ancillary maneuvers. (medscape.com)
Abdomen2
- Physical exam is notable for a distended and non-tender abdomen. (thepalife.com)
- Physical examination shows a mildly tender abdomen with hyperactive bowel sounds . (osmosis.org)
Babies7
- Babies in families with a history of pyloric stenosis may have a higher chance of developing the condition. (medicalnewstoday.com)
- According to an older 2012 study, bottle-fed babies may be 4.6 times more likely to have pyloric stenosis than those not bottle-fed. (medicalnewstoday.com)
- Pyloric stenosis in babies occurs due to the thickening of the pylorus muscles, preventing the food from passing through the stomach to the intestines. (momjunction.com)
- Babies with pyloric stenosis may seem hungry all the time, and vomiting may increase their food demand. (momjunction.com)
- Pyloric stenosis affects approximately three in a thousand babies annually in the US ( 10 ). (momjunction.com)
- Babies with pyloric stenosis may demand feeding soon after vomiting. (momjunction.com)
- Babies with pyloric stenosis may have weight loss or poor weight gain due to inadequate absorption of nutrients and affect an infant's health. (momjunction.com)
Renal1
- Patients with estimated glomerular filtration rate of 30-60 or serum creatinine 1.5-2.0 are at increased risk of contrast-induced renal injury and should receive no more than 75 mL intravenous contrast and 500-1,000 mL oral or intravenous hydration before and after the examination. (radiologykey.com)
Affects1
- Experts estimate that pyloric stenosis affects 2-5 in every 1,000 births . (medicalnewstoday.com)
Tumor1
- Frozen section examination (FSE) revealed free tumor margins and absence of carcinoma. (ispub.com)
Clinical1
- This physiological explanation for the development of clinical pyloric stenosis at around 4 weeks and its spontaneous long term cure without surgery if treated conservatively, has recently been further reviewed. (wikipedia.org)
Reveal1
- Obtaining a thorough history and physical examination will likely reveal the cause of FTT. (ebmedicine.net)
Successfully1
- The patient's pyloric channel was successfully dilated with two balloons. (lookfordiagnosis.com)
History5
- The diagnostic process usually includes physical examinations, tests, and a medical and family history review. (unitedbrainassociation.org)
- The first step is a history and physical examination. (allhealth.com.au)
- The etiology may be discovered while taking a complete history or during a complete physical examination (or maybe the 3rd or 4th complete physical examination). (dvm360.com)
- Radiologic testing is normally not indicated unless the history or physical examination point to a specific etiology. (ebmedicine.net)
- To begin with, the health practitioner will take a history of the patient and perform a detailed physical examination. (epainassist.com)
Unremarkable2
- Physical examination at the time of admission was unremarkable except for moderate tenderness without any rebound or peritoneal signs. (ispub.com)
- On physical examination, he is smaller than expected, but otherwise his vital signs are unremarkable, as is the remainder of his physical examination. (ebmedicine.net)
Stomach2
- Rarely, there are peristaltic waves that may be felt or seen (video on NEJM) due to the stomach trying to force its contents past the narrowed pyloric outlet. (wikipedia.org)
- Pyloric stenosis is a rare condition that occurs when the pylorus, a muscular valve that sits at the bottom of the stomach, thickens. (medicalnewstoday.com)
Survival1
- Ten-year survival varied by condition, ranging from 36.9% for holoprosencephaly to 99.3% for pyloric stenosis. (bvsalud.org)
Severe1
- Pyloric stenosis should be suspected in any young infant with severe vomiting. (wikipedia.org)
Exam4
- A physical exam. (unitedbrainassociation.org)
- There would be an absence of stool in the rectal vault on rectal exam and a positive squirt sign on physical exam (expulsion of stool/flatus on rectal exam). (thepalife.com)
- The positioning of the patient is dependent on the physical capabilities of the patient and the exam that is to be performed. (pressbooks.pub)
- A perianal abscess can be diagnosed by physical exam. (apsapedsurg.org)
Oral examination1
- This book for the emergency medicine oral boards is one of its kind as the title itself suggests its use in the oral examination for medical students and professionals. (allthingsmedicine.com)
Treatment1
- Without treatment, pyloric stenosis may affect growth and development. (medicalnewstoday.com)