{"id":387,"date":"2023-04-19T17:35:04","date_gmt":"2023-04-19T17:35:04","guid":{"rendered":"https:\/\/surgqs.dratef.net\/?p=387"},"modified":"2023-04-19T17:35:05","modified_gmt":"2023-04-19T17:35:05","slug":"5-how-does-an-infant-with-congenital-hypertrophic-pyloric-stenosis-present-what-are-the-clinical-features-of-this-condition","status":"publish","type":"post","link":"https:\/\/surgqs.dratef.net\/?p=387","title":{"rendered":"5. How does an infant with congenital hypertrophic pyloric stenosis present? What are the clinical features of this condition?"},"content":{"rendered":"\n<script src=\"https:\/\/cdn.synthesys.io\/js\/synthesys_widget.js?v=3.6\"><\/script>\n<script>\n    var sysWidget = new SysWidget({ token: \"c6e7f96a-03de-4d5b-ae81-b30a0d236b76\" }); \n<\/script>\n\n\n\n<p>Correct answer:<\/p>\n\n\n\n<p>The presenting symptom is projectile vomiting. The vomit does not contain bile and the child takes food avidly immediately after vomiting, i.e. he or she is always hungry. There is a failure to gain weight and, as a result of dehydration, the baby is constipated (the stools resembling the faecal pellets of a rabbit). The infant may be dehydrated and visible peristalsis of the dilated stomach may be seen in the epigastrium. Ninety-five per cent have a palpable pyloric tumour, which is felt as a firm &#8216;bobbin&#8217; in the right upper abdomen, especially after vomiting a feed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Correct answer: The presenting symptom is projectile vomiting. The vomit does not contain bile and the child takes food avidly immediately after vomiting, i.e. he or she is always hungry. There is a failure to gain weight and, as a&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[15],"tags":[],"_links":{"self":[{"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=\/wp\/v2\/posts\/387"}],"collection":[{"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=387"}],"version-history":[{"count":1,"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=\/wp\/v2\/posts\/387\/revisions"}],"predecessor-version":[{"id":388,"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=\/wp\/v2\/posts\/387\/revisions\/388"}],"wp:attachment":[{"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/surgqs.dratef.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}