Pyloric stenosis differential diagnosis: Difference between revisions
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* Inborn errors of [[metabolism]] | * Inborn errors of [[metabolism]] | ||
* [[Urinary Tract Infections|Urinary tract infections]] and [[Pyelonephritis]]<ref name="Gil-RuizAlcaraz2011">{{cite journal|last1=Gil-Ruiz|first1=Maite Augusta|last2=Alcaraz|first2=Andrés José|last3=Marañón|first3=Rafael José|last4=Navarro|first4=Nelia|last5=Huidobro|first5=Belén|last6=Luque|first6=Augusto|title=Electrolyte disturbances in acute pyelonephritis|journal=Pediatric Nephrology|volume=27|issue=3|year=2011|pages=429–433|issn=0931-041X|doi=10.1007/s00467-011-2020-9}}</ref> | * [[Urinary Tract Infections|Urinary tract infections]] and [[Pyelonephritis]]<ref name="Gil-RuizAlcaraz2011">{{cite journal|last1=Gil-Ruiz|first1=Maite Augusta|last2=Alcaraz|first2=Andrés José|last3=Marañón|first3=Rafael José|last4=Navarro|first4=Nelia|last5=Huidobro|first5=Belén|last6=Luque|first6=Augusto|title=Electrolyte disturbances in acute pyelonephritis|journal=Pediatric Nephrology|volume=27|issue=3|year=2011|pages=429–433|issn=0931-041X|doi=10.1007/s00467-011-2020-9}}</ref> | ||
* [[Renal Failure|Acute renal failure]] | * [[Renal Failure|Acute renal failure]]<ref name="pmid3317287">{{cite journal| author=Chambers JK| title=Fluid and electrolyte problems in renal and urologic disorders. | journal=Nurs Clin North Am | year= 1987 | volume= 22 | issue= 4 | pages= 815-26 | pmid=3317287 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3317287 }} </ref> | ||
==Preferred Table== | ==Preferred Table== | ||
Revision as of 17:16, 8 December 2017
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Pyloric stenosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pyloric stenosis differential diagnosis On the Web |
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American Roentgen Ray Society Images of Pyloric stenosis differential diagnosis |
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Risk calculators and risk factors for Pyloric stenosis differential diagnosis |
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.
Differentiating Infantile Pyloric stenosis from Other Diseases
Pyloric stenosis must be differentiated from other diseases, such as:
- Gastroenteritis[2]
- Inborn errors of metabolism
- Urinary tract infections and Pyelonephritis[3]
- Acute renal failure[4]
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/normal | Acidosis | Hypochloremia |
| Gastroenteritis | ++ | - | +/- | ++ | - | + | Acidosis | Hypochloremia |
| UTI | +/- | - | - | +/- | - | + | Acidosis or alkalosis | Hypochloremia or hyprchloremia |
| 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.