Pyloric stenosis differential diagnosis: Difference between revisions

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Revision as of 18:37, 27 November 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

Infantile hypertrophic pyloric stenosis must be differentiated from other diseases that cause vomiting, poor feeding, dehydration, such as adrenal insufficiency, gastroenteritis, UTI, and acute renal failure.

Differentiating Pyloric Stenosis from Other Diseases

Pyloric stenosis must be differentiated from other diseases, such as:

Adrenal insufficiency
Gastroenteritis
Inborn errors of metabolism
Urinary tract infections and Pyelonephritis
Acute renal failure

Preferred Table

Diseases	History and Symptoms				Physical Examination				Laboratory Findings			Other Findings
Diseases	Finding 1	Finding 2	Finding 3	Finding 4	Dehydration	Physical Finding 2	Physical Finding 3	Physical Finding 4	Hypokalemia	Acidosis or Alkalosis	Hypochloremia or hyperchloremia	Other Findings
Infantile pyloric stenosis			+
Differential Diagnosis 2	↑			-
Differential Diagnosis 3		↓
Differential Diagnosis 4
Differential Diagnosis 5

Diseases	Laboratory Findings
Diseases
Pyloric stenosis	++	+	Alkalosis	Hypochloremia
Adrenal insufficency	+	Hyperkalemia	Acidosis	Hypochloremia
Gastroenteritis	++	+	Acidosis	Hypochloremia
UTI	+/-	+/-	Acidosis or alkalosis	Hypochloremia or hyperchloremia
Acute renal failure	+	Hyperkalemia	Acidosis	hyperchloremia

References

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 ! colspan="4" |History and Symptoms
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-! colspan="4" |Laboratory Findings
+! colspan="3" |Laboratory Findings
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-!Physical Finding 1
+!Dehydration
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-!Lab Test 1
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+!Acidosis or Alkalosis
-!Lab Test 3
+!Hypochloremia or hyperchloremia
-!Lab Test 4
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 1
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |Infantile pyloric stenosis
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-| style="background: #F5F5F5; padding: 5px;" |
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 |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
-!Dehydration
+!
-!Hypokalemia
+!
-!Acidosis or Alkalosis
+!
-!Hypochloremia or hyperchloremia
+!
 |-
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |Pyloric stenosis

Pyloric stenosis differential diagnosis: Difference between revisions

Revision as of 18:37, 27 November 2017

Overview

Differentiating Pyloric Stenosis from Other Diseases

Preferred Table

References

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