Pyloric stenosis differential diagnosis: Difference between revisions

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*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]].  
*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==
==Differentiating Infantile Pyloric stenosis from Other Diseases==
Pyloric stenosis must be differentiated from other diseases, such as:
Pyloric stenosis must be differentiated from other diseases, such as:
* [[Adrenal Insufficiency|Adrenal insufficiency]]
* [[Adrenal Insufficiency|Adrenal insufficiency]]
Line 20: Line 20:
! rowspan="2" |Diseases
! rowspan="2" |Diseases
! colspan="3" |History and Symptoms
! colspan="3" |History and Symptoms
! colspan="4" |Physical Examination
! colspan="2" |Physical Examination
! colspan="3" |Laboratory Findings
! colspan="3" |Laboratory Findings
! rowspan="2" |Other Findings
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
!Vomiting
!Vomiting
Line 28: Line 27:
!Failure to gain weight
!Failure to gain weight
!Dehydration
!Dehydration
!Physical Finding 2
!Palpation of an olive in abdomen
!Physical Finding 3
!Physical Finding 4
!Hypokalemia
!Hypokalemia
!Acidosis or Alkalosis
!Acidosis or Alkalosis
Line 36: Line 33:
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Infantile pyloric stenosis
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Infantile pyloric stenosis
| style="background: #F5F5F5; padding: 5px;" |++
| style="background: #F5F5F5; padding: 5px;" |++
| style="background: #F5F5F5; padding: 5px;" |++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |+/-
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |Alkalosis
| style="background: #F5F5F5; padding: 5px;" |Alkalosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Adrenal insufficency
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Adrenal insufficency
| style="background: #F5F5F5; padding: 5px;" |+/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" |+/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Gastroenteritis
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Gastroenteritis
| style="background: #F5F5F5; padding: 5px;" |++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |+/-
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |UTI
| style="background: #DCDCDC; padding: 5px; text-align: center;" |UTI
| style="background: #F5F5F5; padding: 5px;" |+/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" |Acidosis or alkalosis
| style="background: #F5F5F5; padding: 5px;" |Acidosis or alkalosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia or hyprchloremia
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia or hyprchloremia
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute renal failure
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute renal failure
| style="background: #F5F5F5; padding: 5px;" |+/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Hyperchloremia
| style="background: #F5F5F5; padding: 5px;" |Hyperchloremia
| style="background: #F5F5F5; padding: 5px;" |
|}
|}


Revision as of 19:44, 27 November 2017

Pyloric stenosis Microchapters

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

Overview

Differentiating Infantile Pyloric stenosis from Other Diseases

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

Preferred Table

Diseases History and Symptoms Physical Examination Laboratory Findings
Vomiting Persistent hunger Failure to gain weight Dehydration Palpation of an olive in abdomen Hypokalemia Acidosis or Alkalosis Hypochloremia or hyperchloremia
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

References

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