PaediatricsSurgery
Hypertrophic Pyloric Stenosis
Projectile non-bilious vomiting in 2–8 week-old, hypochloraemic hypokalaemic metabolic alkalosis, USS diagnosis, fluid resuscitation, pyloromyotomy.
Source: BAPS / RCPCH
Step 1 of ~4
info
Recognise
Typically first-born male, age 2–8 weeks, projectile non-bilious vomiting after feeds, hungry between feeds, weight loss, dehydration, visible peristalsis (LUQ to RUQ), palpable 'olive' RUQ post-feed. Verify all paediatric drug doses against BNFc.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Lipid Emulsion 20% (Intralipid) · Antidote / Resuscitation
- Trimetazidine · Metabolic Anti-Anginal
- Lipid Emulsion 20% (Intralipid) · Antidote / Resuscitation
- L-Carnitine · Antidote / Metabolic Agent
- Potassium chloride with calcium chloride and sodium chloride · Crystalloid IV fluid
- Potassium chloride with calcium chloride sodium chloride and sodium lactate · Balanced crystalloid IV fluid
Decision support only. Always apply local guidelines and clinical judgement.