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Pyloric stenosis

Published online by Cambridge University Press:  21 May 2015

James E. Colletti
James E. Colletti*
Affiliation:
Department of Emergency Medicine and Department of Pediatrics and Adolescent Medicine, Mayo Clinic College of Medicine, Rochester, Min.
*
Assistant Residency Director Emergency Medicine, Mayo Clinic College of Medicine, 200 First St. SW, Rochester MN 55905; Colletti.James@mayo.edu

Extract

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In 1717, Blair first described pyloric stenosis based on autopsy findings. It was not until 1887 that Hirschsprung described the clinical picture and pathology of pyloric stenosis. Ninety years later, Teele and Smith described the use of ultrasonography to diagnosis pyloric stenosis. Traditionally, this diagnosis has been based on the clinical findings of projectile nonbilious vomiting, the palpation of a pyloric tumour (or “olive”), and the presence of classic metabolic disturbances. Currently, ultrasonography is regarded as the diagnostic test of choice for an infant presenting with nonbilious emesis in which an “olive” is not palpated.

Keywords

pyloric stenosiselectrolyte disordersclassic
Type
Medical Mythology • Mythes médicaux
Information
Canadian Journal of Emergency Medicine , Volume 6 , Issue 6 , November 2004 , pp. 444 - 445
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

References

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