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]], | 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== | ||
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* [[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 [[ | * [[Urinary Tract Infections|Urinary tract infections]] and [[pyelonephritis]] | ||
* [[ | * [[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 | | 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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Treatment |
Case Studies |
Pyloric stenosis differential diagnosis On the Web |
American Roentgen Ray Society Images of Pyloric stenosis differential diagnosis |
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:[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/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.