A 4 week old child is brought to hospital by his mother after he started vomiting whatever he eats. After vomiting he becomes hungry. Vomiting is projectile in nature and contains the food particles. On examination a palpable mass is felt in upper abdomen and signs of dehydration are present. Which of the following diagnostic modalities will most likely help to confirm the diagnosis?

Question

Quizplus · Accepted Answer

Abdominal ultrasound will most likely help to confirm the diagnosis of hypertrophic pyloric stenosis. It is more common in boys > 3 weeks old. Vomiting is projectile and non-bilious. Onset of symptoms is usually >3weeks: Surgical pyloromyotomy is definitive treatment.

A 4 Week Old Child Is Brought to Hospital by His