Hypertrophic pyloric stenosis practice

Change topics

A mixed set with full explanations. No account needed — sign in later and it starts remembering.

Only questions filed under Hypertrophic pyloric stenosis. Practise everything instead.

Tune this setMiddle twist · 20 questionschange
1 / 3
0:00

Paediatricsmiddle twist
A 5-week-old boy is admitted after a fortnight of vomiting that now shoots across the change table after every feed. The vomit has never been green. He feeds hungrily, has lost 200 g since birth and has a sunken fontanelle. Ultrasound has confirmed hypertrophic pyloric stenosis and the surgical registrar has accepted him. Venous blood gas shows pH 7.52, bicarbonate 34 mmol/L, chloride 88 mmol/L (95 to 110) and potassium 3.0 mmol/L (3.5 to 5.5). Which one of the following should be done next?