Author: Carol Blackburn / Editor: Ronan O’Sullivan / Reviewer: Chris Wearmouth / Codes: GC3, GC9, GP9, NeoC5, SLO5, SuP7 / Published: 04/01/2021
A 30-day-old ex-36/40 twin, male infant attends the ED with his mother due to concern regarding vomiting of 4 days duration. Initially was 1-2 episodes per day, now with every feed. Vomits occur within 20-30mins of feeding, are projectile and non-bilious in nature. The infant has lost 170g in the previous 2 days. He continues to be hungry for feeds, and is passing urine but somewhat reduced in volume. He is irritable. The infant’s twin is not vomiting, and is gaining weight.
He has not been febrile and there is no known history of maternal Group B strep infection.
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Question 1 of 3
1. Question
Which of the following are correct:
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Question 2 of 3
2. Question
Interpret this venous blood gas:
pH: 7.52
pCO2: 5.87
pO2: 5.52
HCO3-: 34.9
BE: 11.6
Na: 130
K: 3.86
Cl: 90Which of the following statements are correct:
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Question 3 of 3
3. Question
Appropriate further management of this patient includes:
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Module Content
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31 responses
Good module
Good case
Nice module
relevant
A good bullet point review of the case
Good review
Short and sweet
Simple, concise and useful.
simple and concise
Very useful
Useful overview
As the title says – A Classic Case!
Good learning points
Good module
Useful quick review of presentation for pyloric stenosis
Nice, short and concise
nice
Good module, and it is typical for pyloric stenosis
Nice One
Clear, concise module.
A classic case indeed although I have not seen many in recent years
good case
informative
Very nice
Classic but still tricky
Interesting case!!good revision
nice case
Once seen never forgeted case.
Good case
nice and to the point
clear and concise