Pyloric stenosis differential diagnosis: Difference between revisions

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Line 30: Line 30:
!Hypokalemia
!Hypokalemia
!Acidosis or Alkalosis
!Acidosis or Alkalosis
!Hypochloremia
!Hypochloremia or hyperchloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pyloric stenosis
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pyloric stenosis
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| 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;" | +
| style="background: #F5F5F5; padding: 5px;" | Hypochloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Adrenal insufficency
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Adrenal insufficency
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| 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;" | +
| style="background: #F5F5F5; padding: 5px;" | Hypochloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Gastroenteritis
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Gastroenteritis
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| 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;" | +
| style="background: #F5F5F5; padding: 5px;" | Hypochloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |UTI
| style="background: #DCDCDC; padding: 5px; text-align: center;" |UTI
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| 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;" | +/-
| style="background: #F5F5F5; padding: 5px;" | Hypochloremia or hyperchloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute renal failure
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute renal failure
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| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |hyperchloremia
| style="background: #F5F5F5; padding: 5px;" |hyperchloremia
|}
===Use if the above table can not be made===
{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align="center"
| valign="top" |
|+
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Differential Diagnosis}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Similar Features}}
! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Pyloric stenosis
Pyloric stenosis
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Adrenal insufficency
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Gastroenteritis
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Acute renal failure
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] also observed in [disease name].
| style="padding: 5px 5px; background: #F5F5F5;" |
* On [physical exam; history; diagnostic test; imaging], [Differential 1] {has; demonstrates} [feature 1], [feature 2], [feature 3] that distinguish it from [disease name].
|}
|}



Revision as of 18:12, 13 November 2017

Pyloric stenosis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pyloric stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

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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

Diseases like gastroentritis ,urinary tract infections ,pyelonephritis ,adrenal insufficiency ,acute renal failure and inborn errors of metabolism are

Differentiating pyloric stenosis from other diseases


  • Infantile hypertrophic pyloric stenosis must be differentiated from other diseases that cause vomiting, Poor feeding, and dehydration, such as infantile adrenal insufficiency , [differential dx2], and [differential dx3].
  • [Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
  • As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].

Preferred Table

Diseases Laboratory Findings
Dehydration Hypokalemia Acidosis or Alkalosis Hypochloremia or hyperchloremia
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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