Term
| Incidence of pyloric stenosis. |
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Definition
| 1 to 4 per 1000 in white children. Less in non-white. |
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Term
| Name 5 risk factors for development of hypertrophic pyloric stenosis (HPS). |
|
Definition
Family history
Gender (4:1 male)
Younger maternal age
First-born infant
Maternal feeding patterns |
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Term
| Muscle thickness greater than _____ or length greater than ____ on the longitudinal view is diagnostic of pyloric stenosis. |
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Definition
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Term
| Sign on an upper gastrointestinal study associated with pyloric stenosis. |
|
Definition
| String sign indicating narrowed pyloric channel |
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Term
| Differential of nonbilious vomiting. |
|
Definition
Gastroesophageal reflux
Gastroenteritis
Increased intracranial pressure
Metabolic disorders
Other anatomic causes |
|
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Term
| The hallmark metabolic derangement associated with HPS. |
|
Definition
| Hypochloremic hypokalemic metabolic alkalosis |
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Term
| T/F. HPS is a surgical emergency. |
|
Definition
| False. This is important because you can take time to resuscitate before initiating surgery. |
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Term
| During a pyloromyotomy, an anesthesiology does what to ensure there is no leak? |
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Definition
| Pass a suction catheter in the stomach for decompression and for instilling air to check for a leak |
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Term
| Pain from pyloric stenosis is usually controlled with ... |
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Definition
|
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Term
| 6 complications of pyloric stenosis. |
|
Definition
Mucosal perforation
Wound infection
Incisional hernia
Prolonged postoperative emesis
Incomplete myotomy
Duodenal injury |
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Term
| What prophylactic antibiotics are advised in the case of a pyloromyotomy? |
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Definition
| None prophylactically because it is considered a clean procedure. |
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