Pyloric stenosis differential diagnosis: Difference between revisions
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==Differentiating Infantile Pyloric stenosis from Other Diseases== | ==Differentiating Infantile Pyloric stenosis from Other Diseases== | ||
Pyloric stenosis must be differentiated from other diseases, such as: | Pyloric stenosis must be differentiated from other diseases, such as:<ref name="PuttannaCunningham2013">{{cite journal|last1=Puttanna|first1=A.|last2=Cunningham|first2=A. R.|last3=Dainty|first3=P.|title=Addison's disease and its associations|journal=Case Reports|volume=2013|issue=jul26 1|year=2013|pages=bcr2013010473–bcr2013010473|issn=1757-790X|doi=10.1136/bcr-2013-010473}}</ref><ref name="Elliott2007">{{cite journal|last1=Elliott|first1=E. J.|title=Acute gastroenteritis in children|journal=BMJ|volume=334|issue=7583|year=2007|pages=35–40|issn=0959-8138|doi=10.1136/bmj.39036.406169.80}}</ref><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><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> | ||
* [[Adrenal Insufficiency|Adrenal insufficiency]] | |||
* [[Gastroenteritis]] | |||
* Inborn errors of metabolism | |||
* [[Urinary Tract Infections|Urinary tract infections]] and [[Pyelonephritis]] | |||
* [[Renal Failure|Acute renal failure]] | |||
==Preferred Table== | ==Preferred Table== | ||
Revision as of 14:15, 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
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 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.