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    Pyloric Stenosis

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    drnareshkumar3281
    The document describes a case of pyloric stenosis in an infant. Key symptoms include nonbilious vomiting, regurgitation, weight loss, and dehydration. On physical exam, a firm, olive-sized pylorus may be palpated in the abdomen. Tests ordered include bloodwork and imaging studies like ultrasound and CT. The assessment is pyloric stenosis and the plan is fluid resuscitation followed by a Ramstedt pyloromyotomy surgery to correct the stenosis.

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    Pyloric Stenosis

    Uploaded by

    drnareshkumar3281
    680 views2 pages
    The document describes a case of pyloric stenosis in an infant. Key symptoms include nonbilious vomiting, regurgitation, weight loss, and dehydration. On physical exam, a firm, olive-sized pylorus may be palpated in the abdomen. Tests ordered include bloodwork and imaging studies like ultrasound and CT. The assessment is pyloric stenosis and the plan is fluid resuscitation followed by a Ramstedt pyloromyotomy surgery to correct the stenosis.

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    The document describes a case of pyloric stenosis in an infant. Key symptoms include nonbilious vomiting, regurgitation, weight loss, and dehydration. On physical exam, a firm, olive-sized pylorus may be palpated in the abdomen. Tests ordered include bloodwork and imaging studies like ultrasound and CT. The assessment is pyloric stenosis and the plan is fluid resuscitation followed by a Ramstedt pyloromyotomy surgery to correct the stenosis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    680 views2 pages

    Pyloric Stenosis

    Uploaded by

    drnareshkumar3281
    The document describes a case of pyloric stenosis in an infant. Key symptoms include nonbilious vomiting, regurgitation, weight loss, and dehydration. On physical exam, a firm, olive-sized pylorus may be palpated in the abdomen. Tests ordered include bloodwork and imaging studies like ultrasound and CT. The assessment is pyloric stenosis and the plan is fluid resuscitation followed by a Ramstedt pyloromyotomy surgery to correct the stenosis.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    PYLORIC STENOSIS

    1. CHIEF COMPLAINT
    •Pyloric stenosis

    2. HPI

    3. ROS

    4. SYMPTOMS
    •Nonbilious vomiting
    •Regurgitation
    •Emesis
    •Poor weight gain
    •Weight loss
    •Marasmus
    •Decreased urinary output
    •Lethargy
    •Shock
    •Jaundice

    5. HISTORY
    •FAMILY HISTORY
    •SOCIAL HISTORY
    •PASTMEDICAL HISTORY
    •SURGICAL HISTORY
    •CHRONIC CONDITIONS

    6. ALLERGIES

    7. PHYSICAL EXAMINATION
    •Firm, nontender, and mobile hard pylorus that is 1-2 cm in
    diameter, described as an "olive," may be present in the right
    upper quadrant at the lateral edge of the rectus abdominus
    muscle.
    •Gastric peristalsis just prior to emesis as the peristaltic waves
    tries to overcome the obstruction.
    •Depressed fontanelles
    •Dry mucous membranes
    •Decreased tearing
    •Poor skin turgor
    •Lethargy
    8. SPECIFIC DATA LIKE GRADING ETC

    9. TESTS TO BE ORDERED
    •CBP
    •Serum Electrolytes
    •Serum pH
    •BUN
    •Serum Creatinine levels
    •Bilirubin level
    •Ultrasonography
    •CT scan
    •Upper GI endoscopy

    10.ASSESSMENT /PLAN
    •Correct fluid loss, electrolytes, and acid-base imbalance with
    crystalloid fluid
    •Patient should on nothing by mouth
    •The Ramstedt pyloromyotomy

    11.EDUCATION

    12.MEDICATION

    13.FOLLOW-UP

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