question

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Pediatrics Forum

question

Author

4 Posts

khiladi
Forum Newbie

Topics: 9
Posts: 13

01/27/08 - 08:02 PM

Clinical presentation: pyloric stenosis?

What is the next step in management?

1.) Correct electrolytes

2.) perform ultrasound

Ivonne
Forum Guru
avatar

Topics: 51
Posts: 1,392

01/27/08 - 08:16 PM

We always have to compensate the electrolyte disbalance first (hypochloremic, hypokalemic metabolic alkalosis) then do more studies(if the clinical presentation is classic there is not need for more interventions that should be done only if the diagnosis is in doubt) . The definitive treatment------->surgery (pyloromyotomy).

Edited by Ivonne on 01/28/08 - 09:05 AM

___________________
If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)

dr_arc
Forum Senior

Topics: 5
Posts: 156

01/28/08 - 10:31 AM

any case, any condition, always stabilise and support first, investigate and confirm next.
first question to ask when you see any pt- is he stable enough to wait for inv or should i be intervening first to keep him safe
pt vomiting/diarrheaetc=dehydrated, electrolytes abn-correct that first
resuscitate, stabilise, support then investigate. smiling face

khiladi
Forum Newbie

Topics: 9
Posts: 13

01/28/08 - 06:32 PM

thanks

You don't have permission to post.