Pyloric Stenosis

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