Transverse ( Figure 1) and longitudinal ( Figure 2) images of the epigastric region are shown. Abdominal ultrasonography was performed at bedside with the patient lying on his right side. Results of complete blood cell count and chemistry panel were within normal limits. Normal genitals, no hernias or abdominal masses. Soft, nontender abdomen, with normoactive bowel sounds. Pulmonary and cardiac examination findings normal. Mucous membranes moist, peripheral capillary refill spontaneous. Rectal temperature, 37.4✬ (99.2✯) heart rate, 146 beats per minute blood pressure, 85/69 mm Hg respiration rate, 22 breaths per minute and oxygen saturation, 100% on room air. The patient was taking no medications and had not yet received any vaccinations.Īlert, well-developed, well-nourished infant. The infant’s 2-year-old brother had infantile pyloric stenosis, which was repaired without complications in the first month of life. The parents reported that the infant had constipation and decreased urination for the past 4 days but no change in appetite.īirth and perinatal history were unremarkable, as was the review of systems birth weight was 3.9 kg. Two days before presentation, the infant began having projectile, nonbilious vomiting after every formula feeding and during sleep. Initially, the vomiting occurred twice a day. A 23-day-old boy born at 39 weeks’ gestation via normal spontaneous vaginal delivery was brought to the emergency department with vomiting of 1 week’s duration.
0 kommentar(er)
