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Question

Which one of the following is $not$ a feature of congenital hypertrophic pyloric stenosis ?

The correct answer is
Diarrhea

Pyloric Stenosis Feature Analysis

Congenital hypertrophic pyloric stenosis (CHPS) is a condition affecting infants where the pyloric muscle (connecting the stomach to the small intestine) becomes abnormally thick, obstructing food passage.

Identifying Non-Characteristic Symptoms

We need to find the option that is not a typical feature of CHPS. Let's examine the common signs:

  • Prevalence in Males: CHPS is known to be significantly more common in male infants.
  • Projectile Vomiting: This is a hallmark symptom. The obstruction causes forceful, often long-distance, vomiting shortly after feeding, without much nausea.
  • Malnutrition: Persistent vomiting prevents adequate nutrient and fluid intake, leading to dehydration, weight loss, and malnutrition if untreated.
  • Diarrhea: This is less common in CHPS. The primary issue is obstruction, leading to reduced passage of stool (constipation) due to decreased intake and absorption. Diarrhea might occur secondary to other complications or unrelated issues but isn't a direct feature of the stenosis itself.

Conclusion

Based on the typical presentation of CHPS, Diarrhea is the symptom that does not align with the condition's primary characteristics. The other options are well-established features.

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Important Questions from Paediatric Emergencies

  1. In case of hypertensive emergency in a child, blood pressure should be reduced by up to :
  2. At what cut-off respiratory rate will you consider "fast breathing" in a 2-year-old child?
  3. A child presents with headache and vomiting in the emergency room following a fall from the bed. Which one of the following treatment modalities is not recommended in the emergency room?
  4. The recommended ratio for chest compression to breaths administered by a single rescuer during resuscitation of a child in cardiac arrest is:
  5. A 4-year-old comatose child is assessed by the Modified Glasgow Coma Scale. Which of the following is the correct interpretation of the score given as E2V3M2 for the best eye opening response, best verbal response and best motor response respectively?
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