Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive, non-bilious, projectile vomiting occurring shortly after feeds. Onset at [Age in weeks], with associated weight loss, poor weight gain, and signs of dehydration. No history of diarrhea or fever. Stools are infrequent and small in volume.
Clinical Examination Findings
Infant appears dehydrated with sunken fontanelle and poor skin turgor. Abdominal examination reveals visible gastric peristaltic waves moving from left to right. A palpable, firm, mobile, olive-shaped mass is noted in the right upper quadrant (RUQ) or epigastrium.
Treatment Protocol
Initial management includes NPO status, placement of nasogastric tube for decompression, and aggressive fluid resuscitation with isotonic crystalloids to correct electrolyte imbalances (hypochloremic metabolic alkalosis). Definitive treatment is surgical pyloromyotomy (Ramstedt procedure).