Health Book Citation

Electrolyte and volume replacement is the mainstay of initial management in order to avoid perioperative arrhythmias seizures vascular collapse and apnea. Journal of pediatric surgery case reports 43.

Congenital Hypertrophic Pyloric Stenosis

In the chronic and subacute groups the changes were usually slight.

Pyloric stenosis electrolytes. Recent investigations have demonstrated that the classic hypochloremic hypokalemic metabolic alkalosis of hypertrophic pyloric stenosis hps is not a common finding some have suggested a trend over time but none has investigated factors contributing to laboratory derangement such as duration of vomiting or patient age at presentation. Symptoms include projectile vomiting without the presence of bile. Pyloric stenosis is an uncommon condition in infants that blocks food from entering the small intestine.

The patient should not be operated on until there has been adequate fluid and electrolyte resuscitation. Pyloric stenosis is a medical emergency not a surgical emergency. The typical age that symptoms become obvious is two to twelve weeks old.

Normally a muscular valve pylorus between the stomach and small intestine holds food in the stomach until it is ready for the next stage in the digestive process. The water and electrolyte content of skeletal muscle biopsy specimens from 18 patients with pyloric stenosis have been compared with those of normal subjects. This most often occurs after the baby is fed.

This is a case re affirming that infantile hypertrophic pyloric stenosis ihps can present with severe electrolyte abnormalities and can be a medical emergency as seen in this patient. The patients were divided into three groups on the basis of clinical findings and serum electrolyte abnormalities. Life threatening electrolyte abnormalities in pyloric stenosis.

According to barash the infant should have normal skin turgor and the correction of the electrolyte imbalance should produce a sodium level that is 130 meq l a potassium. Pyloric stenosis is a narrowing of the opening from the stomach to the first part of the small intestine the pylorus.

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