Pyloric stenosis laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
Most common laboratory findings consistent with the diagnosis of infantile pyloric stenosis and adult type pyloric stenosis include [[hypokalemia]] , [[hypochloremia]], and [[metabolic alkalosis]]. | Most common laboratory findings consistent with the diagnosis of infantile pyloric stenosis and adult type pyloric stenosis include [[hypokalemia]], [[hypochloremia]], and [[metabolic alkalosis]]. | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
Laboratory findings consistent with the diagnosis of pyloric stenosis include:<ref name=" | *Laboratory findings consistent with the diagnosis of pyloric stenosis include [[Electrolyte disturbance|electrolyte imbalances]] such as:<ref name="pmid23528507">{{cite journal| author=Tutay GJ, Capraro G, Spirko B, Garb J, Smithline H| title=Electrolyte profile of pediatric patients with hypertrophic pyloric stenosis. | journal=Pediatr Emerg Care | year= 2013 | volume= 29 | issue= 4 | pages= 465-8 | pmid=23528507 | doi=10.1097/PEC.0b013e31828a3006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23528507 }} </ref><ref name="pmid9684526">{{cite journal| author=Yu HR, Huang SC, Hsieh CS| title=Infantile hypertrophic pyloric stenosis presenting as pseudo-Bartter's syndrome and seizures: report of one case. | journal=Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi | year= 1998 | volume= 39 | issue= 3 | pages= 195-7 | pmid=9684526 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9684526 }} </ref><ref name="pmid2593055">{{cite journal| author=Breaux CW, Hood JS, Georgeson KE| title=The significance of alkalosis and hypochloremia in hypertrophic pyloric stenosis. | journal=J Pediatr Surg | year= 1989 | volume= 24 | issue= 12 | pages= 1250-2 | pmid=2593055 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2593055 }} </ref> | ||
* [[Hypokalemia]] | ** [[Hypokalemia]] | ||
* [[Hypochloremia]] | ** [[Hypochloremia]] | ||
* [[Metabolic alkalosis]] due to loss of [[gastric acid]] (which | ** [[Metabolic alkalosis]] due to loss of [[gastric acid]] (which contains [[hydrochloric acid]] and [[potassium]]) via persistent [[Nausea and vomiting|vomiting]]. | ||
*Any condition with severe [[Nausea and vomiting|vomiting]] may present with similar findings. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Surgery]] | |||
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[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category: | [[Category:Disease]] | ||
[[Category:Pediatrics]] | |||
[[Category:Up-To-Date]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 20:21, 11 December 2017
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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
Most common laboratory findings consistent with the diagnosis of infantile pyloric stenosis and adult type pyloric stenosis include hypokalemia, hypochloremia, and metabolic alkalosis.
Laboratory Findings
- Laboratory findings consistent with the diagnosis of pyloric stenosis include electrolyte imbalances such as:[1][2][3]
- Hypokalemia
- Hypochloremia
- Metabolic alkalosis due to loss of gastric acid (which contains hydrochloric acid and potassium) via persistent vomiting.
- Any condition with severe vomiting may present with similar findings.
References
- ↑ Tutay GJ, Capraro G, Spirko B, Garb J, Smithline H (2013). "Electrolyte profile of pediatric patients with hypertrophic pyloric stenosis". Pediatr Emerg Care. 29 (4): 465–8. doi:10.1097/PEC.0b013e31828a3006. PMID 23528507.
- ↑ Yu HR, Huang SC, Hsieh CS (1998). "Infantile hypertrophic pyloric stenosis presenting as pseudo-Bartter's syndrome and seizures: report of one case". Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 39 (3): 195–7. PMID 9684526.
- ↑ Breaux CW, Hood JS, Georgeson KE (1989). "The significance of alkalosis and hypochloremia in hypertrophic pyloric stenosis". J Pediatr Surg. 24 (12): 1250–2. PMID 2593055.