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The Importance of a High Suppression for Malletation
A six-week-old infant presents to your emergency department for several episodes of projectile vomiting. Minesha you're asked to come down to assess the patient. I'm most concerned about pyloric stenosis but also had to think about food allergies, reflux, or another reason this baby might have an upper GI obstruction. But because his patient seems dehydrated I'd make sure to get an IV placed and start a 20cc perkeletal list of normal saline. An abdominal ultrasound to assess the pyloris shows a 20mm long pyloris with a wall thickness of 5mm. And importantly, when they're doing the ultrasound, gaster contents do not pass through the p