Immediate Emergency Department Diagnosis of Pyloric Stenosis with Point-of-care Ultrasound.

Autor:	Dorinzi N; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia., Pagenhardt J; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia., Sharon M; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia., Robinson K; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia., Setzer E; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia., Denne N; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia., Minardi J; West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia.
Jazyk:	angličtina
Zdroj:	Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2017 Nov 03; Vol. 1 (4), pp. 395-398. Date of Electronic Publication: 2017 Nov 03 (Print Publication: 2017).
DOI:	10.5811/cpcem.2017.9.35016
Abstrakt:	A 15-day-old male who was born at term presented with non-bilious projectile vomiting. He was nontoxic and his abdomen was benign without masses. Point-of-care ultrasound (POCUS) showed hypertrophic pyloric stenosis (HPS). Typical findings include target sign; pyloric muscle thickness greater than three millimeters (mm); channel length greater than 15-18 mm; and lack of gastric emptying. The patient was admitted; consultative ultrasound (US) was negative, but repeated 48 hours later for persistent vomiting. This second US was interpreted as HPS, which was confirmed surgically. Pyloromyotomy was successful. Few reports describe POCUS by general emergency physicians to diagnose HPS. Here, we emphasize the value in repeat US for patients with persistent symptoms. Competing Interests: Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.
Databáze:	MEDLINE
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