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Palpable or visible in pyloric stenosisPeristaltic waves are often palpable or visible in pyloric stenosis1234. These waves are due to the stomach trying to force its contents past the narrowed pyloric outlet1234. The doctor may be able to feel a small lump in the infant’s abdomen, which is the enlarged pylorus3. Occasionally, a wavelike contraction across the abdomen called a peristaltic wave can be seen3.Learn more:✕This summary was generated using AI based on multiple online sources. To view the original source information, use the "Learn more" links.Feeling the mass by palpation is a diagnostic skill requiring much patience and experience. There are often palpable (or even visible) peristaltic waves due to the stomach trying to force its contents past the narrowed pyloric outlet.www.chop.edu/conditions-diseases/pyloric-stenosisRarely, there are peristaltic waves that may be felt or seen (video on NEJM) due to the stomach trying to force its contents past the narrowed pyloric outlet. [citation needed]en.wikipedia.org/wiki/Pyloric_stenosisThe doctor may be able to feel a small lump (about the size of an olive) in the infant’s abdomen (the enlarged pylorus). Occasionally, if the infant is observed after feeding and before forcefully vomiting, a wavelike contraction across the abdomen called a peristaltic wave can be seen.www.merckmanuals.com/home/children-s-health-is…Because less pee is made, they can go more than 4 to 6 hours between wet diapers. Waves of peristalsis. After feeds, increased stomach contractions may make noticeable ripples, which move from left to right over the baby’s belly as the stomach tries to empty itself against the thickened pylorus.www.rchsd.org/health-article/pyloric-stenosis/Peristaltic Waves in Pyloric Stenosis | NEJM - YouTube
Peristaltic Waves in Pyloric Stenosis | NEJM
Oct 3, 2013 · Laboratory investigations revealed a hypokalemic, hypochloremic metabolic alkalosis. On physical examination, an olive-shaped mass that was 2 cm long was palpated in …
- Author: Gabriel Altit, Marcel Milot
- Publish Year: 2013
Peristaltic Waves in Infantile Hypertrophic Pyloric …
Peristaltic waves (arrow) are observed traveling from the infant's left upper abdomen toward the right side. They are caused by the stomach attempting to force its contents past the narrowed pyloric outlet and indicative of IHPS. The …
Abdominal ultrasonography revealed a characteristic target lesion with enlarged pylorus and thickened pylorus muscle with elongated pyloric canal (Figure 2). Infantile hypertrophic pyloric …
Pyloric Stenosis - StatPearls - NCBI Bookshelf
Jan 30, 2023 · The clinician may also observe reverse peristaltic waves. Infants may show dehydration. Signs of dehydration in infants are depressed fontanelles, dry mucous …
Peristaltic Waves in Pyloric Stenosis | New England Journal of …
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Ultrasound diagnosis of hypertrophic pyloric stenosis – Time to …
(a) Image of a collapsed distal antrum, taken during the passage of a peristaltic wave simulating an elongated canal, suggestive of hypertrophic pyloric stenosis (HPS). (b) Same patient as in …
Images in clinical medicine. Peristaltic waves in pyloric stenosis
Oct 3, 2013 · Peristaltic waves in pyloric stenosis. Images in clinical medicine. Peristaltic waves in pyloric stenosis N Engl J Med. 2013 Oct 3;369(14):e18. doi: 10.1056/NEJMicm1214572. …
Peristaltic waves in infantile hypertrophic pyloric stenosis
Peristaltic waves in infantile hypertrophic pyloric stenosis. Peristaltic waves in infantile hypertrophic pyloric stenosis J Pediatr. 2014 Feb;164(2):423.e1. doi: …
Hypertrophic Pyloric Stenosis - Pediatric …
AXR (above) shows an extremely distended stomach with peristaltic waves (caterpillar sign). Sagittal (below left) and transverse (below right) US of the pylorus shows the pylorus …
Peristaltic Waves in Pyloric Stenosis - ResearchGate
Oct 3, 2013 · Laboratory investigations revealed a hypokalemic, hypochloremic metabolic alkalosis. On physical examination, an olive-shaped mass that was 2 cm long was palpated in …
Pyloric Stenosis - Children's Hospital of Philadelphia
There are often palpable (or even visible) peristaltic waves due to the stomach trying to force its contents past the narrowed pyloric outlet. In addition to a complete history and physical exam, …
Hypertrophic Pyloric Stenosis - Hypertrophic Pyloric Stenosis
Gastric peristaltic waves may be visible, crossing the epigastrium from left to right. A discrete, 2- to 3-cm, firm, movable, and olive-like pyloric mass is sometimes palpable deep in the right side …
Peristaltic Waves in Infantile Hypertrophic Pyloric Stenosis
Gastric peristaltic waves traveling from the left side of the upper abdomen toward the right side were observed (ie, “caterpillar sign”; Figure 1 and Video; Video available at www.jpeds.com). …
Advances in infantile hypertrophic pyloric stenosis - PubMed
Infantile hypertrophic pyloric stenosis (IHPS) is a common condition in infancy, characterized by an acquired narrowing of the pylorus, which requires surgery. These infants usually present …
Recurrent Infantile Hypertrophic Pyloric Stenosis in the …
With early ultrasound evaluation, it is less common to identify classic clinical findings such as a peristaltic wave, a palpable “olive-shaped” mass, or hypochloremic, hypokalemic metabolic …
Focus On: Pyloric Stenosis | Pediatric Emergency Playbook
Jan 1, 2022 · Peristaltic abdominal waves associated with infantile hypertrophic pyloric stenosis. Ann Emerg Med . 2014 Mar;63(3):289,308. Staerkle RF, Lunger F, Fink L, Sasse T, Lacher M, …
Pyloric Stenosis
Peristaltic waves may sometimes be seen on exam, progressing from the left upper abdomen across to the right. The classic finding on physical examination in infants presenting with …
The first is the observation of a gastric peristaltic wave as the stomach peristalsis against the narrow pyloric channel. The patient will exhibit gastric distention (as opposed to generalized …
Clinical presentation of pyloric stenosis: the change is in
Additional classical presenting findings include palpation of the pyloric tumor, described as olive-shaped; a visible gastric peristaltic wave after feeding; and hypochloremic, hypokalemic …
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