Classic presentation

• 3-6 week old infant with progressively worsening forceful vomiting
• Vomit may have "curdled milk" appearance and occur hours after last feed
• Late presentation may include features of dehydration

 

Labs

• Always assess for hypochloremic alkalosis

 

Diagnosis

• Ultrasound

 

Disposition

• Emergent consult with pediatric surgeon

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The Compendium platform was created by David Kwinter, MD, CCFP(EM).