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]].


==Differentiating Infantile Pyloric stenosis from Other Diseases==
==Differentiating Infantile Pyloric stenosis from Other Diseases==
Line 10: Line 10:
* [[Adrenal Insufficiency|Adrenal insufficiency]]
* [[Adrenal Insufficiency|Adrenal insufficiency]]
* [[Gastroenteritis]]
* [[Gastroenteritis]]
* Inborn errors of metabolism
* [[Inborn errors of metabolism]]
* [[Urinary Tract Infections|Urinary tract infections]] and [[Pyelonephritis]]
* [[Urinary Tract Infections|Urinary tract infections]] and [[pyelonephritis]]
* [[Renal Failure|Acute renal failure]]
* [[Acute renal failure]]


==Preferred Table==
==Preferred Table==
Line 32: Line 32:
!Hypochloremia or hyperchloremia
!Hypochloremia or hyperchloremia
|-
|-
| 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; text-align: center;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ++
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ++
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" |Alkalosis
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Alkalosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hypochloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Adrenal insufficency
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Adrenal insufficiency|'''Adrenal insufficiency''']]
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia/normal
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hyperkalemia/normal
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hypochloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Gastroenteritis
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Gastroenteritis|'''Gastroenteritis''']]
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px; text-align: center;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hypochloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |UTI
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[UTI|'''UTI''']]
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" |Acidosis or alkalosis
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Acidosis or alkalosis
| style="background: #F5F5F5; padding: 5px;" |Hypochloremia or hyprchloremia
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hypochloremia or hyprchloremia
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute renal failure
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Acute renal failure|'''Acute renal failure''']]
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px; text-align: center;" | -
| style="background: #F5F5F5; padding: 5px;" |Hyperkalemia
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hyperkalemia
| style="background: #F5F5F5; padding: 5px;" |Acidosis
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Acidosis
| style="background: #F5F5F5; padding: 5px;" |Hyperchloremia
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Hyperchloremia
|}
|}


Revision as of 14:19, 11 December 2017

Pyloric stenosis Microchapters

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Overview

Historical Perspective

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Causes

Differentiating Pyloric stenosis from other Diseases

Epidemiology and Demographics

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Diagnosis

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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.

Differentiating Infantile Pyloric stenosis from Other Diseases

Pyloric stenosis must be differentiated from other diseases, such as:[1][2][3][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 insufficiency +/- +/- + + - Hyperkalemia/normal Acidosis Hypochloremia
Gastroenteritis ++ - +/- ++ - + Acidosis Hypochloremia
UTI +/- - - +/- - + Acidosis or alkalosis Hypochloremia or hyprchloremia
Acute renal failure +/- - - + - Hyperkalemia Acidosis Hyperchloremia

References

  1. ↑ 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.
  2. ↑ Elliott, E. J. (2007). "Acute gastroenteritis in children". BMJ. 334 (7583): 35–40. doi:10.1136/bmj.39036.406169.80. ISSN 0959-8138.
  3. ↑ 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.
  4. ↑ Chambers JK (1987). "Fluid and electrolyte problems in renal and urologic disorders". Nurs Clin North Am. 22 (4): 815–26. PMID 3317287.

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