Pyloric stenosis physical examination
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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]
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Overview
- Patients with infantile pyloric stenosis usually appear ill and toxic. physical examination of patients with infantile pyloric stenosis is usually remarkable for palpation of an abdominal mass in epigastrium.
Infantile pyloric stenosis physical examination
Vital Signs
- Hypothermia may be present
- Tachycardia may be present
- Tachypnea may be present
Skin
- Cyanosis may be present
- Poor skin turgur
Head
- Depressed fontanelles may be present
Eyes
- Decereased tearing may be present
Abdomen
- Palpation of the abdomen may reveal a mass in the epigastrium. This mass, which consists of the enlarged pylorus, is referred to as the 'olive,' and is sometimes evident after the infant is given formula to drink. It is an elusive diagnostic skill requiring much patience and experience. There are often palpable (or even visible) peristaltic waves due to stomach trying to force its contents past the narrowed pyloric outlet.
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