Which of the following is most characteristic of congenital hyperophic pyloric stenosis?
Congenital hyperophic pyloric stenosis is more common in first born males.Symptoms usually sta after 3 weeks of age.Nonbilious vomiting is the initial symptom. After vomiting, the infant becomes hungry and wants to feed again.The metabolic disturbance is hypochloremic metabolic alkalosis.Clinical diagnosis is by palpation of hyperophic mass, confirmed by USG.The surgical procedure of choice is Ramstedt pylorotomy.Ref: Nelson 17th/e p1229
Affects the first born female child
The pyloric tumour is best felt during feeding
The patient is commonly marasmic
Loss of appetite occurs early
All India exam