Pyloric stenosis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Infantile hypertrophic pyloric stenosis must be differentiated from other diseases that cause [[vomiting]], [[poor feeding]] and [[dehydration]], such as [[adrenal insufficiency]], [[gastroenteritis]], [[UTI]], [[inborn errors of metabolism]] and [[acute renal failure]]. | Infantile hypertrophic pyloric stenosis must be differentiated from other diseases that cause [[vomiting]], [[poor feeding]] and [[dehydration]], such as [[adrenal insufficiency]], [[gastroenteritis]], [[UTI]], [[inborn errors of metabolism]] and [[acute renal failure]]. projectile vomiting and and palpation of an olive in abdominal physical examination are very helpful to distinguish infantile pyloric stenosis from other common causes of vomiting in infants. | ||
==Differentiating Infantile Pyloric stenosis from Other Diseases== | ==Differentiating Infantile Pyloric stenosis from Other Diseases== | ||
Revision as of 18:06, 11 December 2017
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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
Infantile hypertrophic pyloric stenosis must be differentiated from other diseases that cause vomiting, poor feeding and dehydration, such as adrenal insufficiency, gastroenteritis, UTI, inborn errors of metabolism and acute renal failure. projectile vomiting and and palpation of an olive in abdominal physical examination are very helpful to distinguish infantile pyloric stenosis from other common causes of vomiting in infants.
Differentiating Infantile Pyloric stenosis from Other Diseases
Pyloric stenosis must be differentiated from other diseases, such as:[1][2][3][4]
- 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 | |||||
|---|---|---|---|---|---|---|---|---|
| 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 insufficiency | +/- | +/- | + | + | - | Hyperkalemia or normal | Acidosis | Hypochloremia |
| Gastroenteritis | ++ | - | +/- | ++ | - | + | Acidosis | Hypochloremia |
| UTI | +/- | - | - | +/- | - | + | Acidosis or alkalosis | Hypochloremia or hyperchloremia |
| Acute renal failure | +/- | - | - | + | - | Hyperkalemia | Acidosis | Hyperchloremia |
References
- ↑ Puttanna, A.; Cunningham, A. R.; Dainty, P. (2013). "Addison's disease and its associations". Case Reports. 2013 (jul26 1): bcr2013010473–bcr2013010473. doi:10.1136/bcr-2013-010473. ISSN 1757-790X.
- ↑ Elliott, E. J. (2007). "Acute gastroenteritis in children". BMJ. 334 (7583): 35–40. doi:10.1136/bmj.39036.406169.80. ISSN 0959-8138.
- ↑ Gil-Ruiz, Maite Augusta; Alcaraz, Andrés José; Marañón, Rafael José; Navarro, Nelia; Huidobro, Belén; Luque, Augusto (2011). "Electrolyte disturbances in acute pyelonephritis". Pediatric Nephrology. 27 (3): 429–433. doi:10.1007/s00467-011-2020-9. ISSN 0931-041X.
- ↑ Chambers JK (1987). "Fluid and electrolyte problems in renal and urologic disorders". Nurs Clin North Am. 22 (4): 815–26. PMID 3317287.