Pyloric stenosis differential diagnosis: Difference between revisions

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Revision as of 18:46, 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			+		++				+	Alkalosis	Hypochloremia
Adrenal insufficency				-	+				Hyperkalemia	Acidosis	Hypochloremia
Gastroenteritis		↓			++				+	Acidosis	Hypochloremia
UTI					+/-				+/-	Acidosis or alkalosis	Hypochloremia or hyprchloremia
Acute renal failure					+				Hyperkalemia	Acidosis	Hyperchloremia

Diseases	Laboratory Findings
Diseases
	++	+	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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+| style="background: #F5F5F5; padding: 5px;" |Alkalosis
+| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
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+|-
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |Adrenal insufficency
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 2
-| style="background: #F5F5F5; padding: 5px;" |'''↑'''
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+| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Acidosis
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 3
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |Gastroenteritis
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 | style="background: #F5F5F5; padding: 5px;" |↓
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+| style="background: #F5F5F5; padding: 5px;" |++
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-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Acidosis
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
-| style="background: #F5F5F5; padding: 5px;" |
 | style="background: #F5F5F5; padding: 5px;" |
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 4
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |UTI
-| style="background: #F5F5F5; padding: 5px;" |
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+| style="background: #F5F5F5; padding: 5px;" |+/-
+| style="background: #F5F5F5; padding: 5px;" |Acidosis or alkalosis
+| style="background: #F5F5F5; padding: 5px;" |Hypochloremia or hyprchloremia
 | style="background: #F5F5F5; padding: 5px;" |
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 5
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute renal failure
-| style="background: #F5F5F5; padding: 5px;" |
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+| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
+| style="background: #F5F5F5; padding: 5px;" |Acidosis
+| style="background: #F5F5F5; padding: 5px;" |Hyperchloremia
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-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pyloric stenosis
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |
 | style="background: #F5F5F5; padding: 5px;" | ++
 | style="background: #F5F5F5; padding: 5px;" | +

Pyloric stenosis differential diagnosis: Difference between revisions

Revision as of 18:46, 27 November 2017

Overview

Differentiating Pyloric Stenosis from Other Diseases

Preferred Table

References

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