1/5. An uncommon association of H-type tracheoesophageal fistula with infantile hypertrophic pyloric stenosis.Although infantile hypertrophic pyloric stenosis following esophageal atresia repair is known, infantile hypertrophic pyloric stenosis following H-type tracheoesophageal fistula has not been encountered previously. A case of H-type tracheoesophageal fistula and infantile hypertrophic pyloric stenosis is presented. The patient, operated on for H-type fistula, a rare congenital anomaly of the esophagus, on the tenth day of life was readmitted 19 days later because of continuous vomiting after every feeding. The clinical findings and physical and radiological examinations revealed infantile hypertrophic pyloric stenosis which required surgical treatment. It is suggested that the association of H-type tracheoesophageal fistula with infantile hypertrophic pyloric stenosis is coincidental, given the estimated incidence of one in every 84,375,000 males and 337,500,000 females.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. Infantile hypertrophic pyloric stenosis in a 5-month-old baby: case report.Hypertrophic pyloric stenosis is commonly seen in infants 2 to 4 weeks old. We report a case of pyloric stenosis diagnosed in a boy 5 months and 11 days old suffering from the sudden onset of vomiting. Gastric volvulus was initially diagnosed at another hospital. Abdominal ultrasonography at first using an Acuson 5-MHz transducer revealed a negative diagnosis. However, a tubular pyloric mass measuring 5.5 mm in thickness, 15 mm in the transverse diameter, and 2.0 cm in length was detected by a 7-MHz transducer immediately after the infant vomited. On physical examination, no abdominal mass was palpable. This suggested that this might have been a case of hypertrophic pyloric stenosis which was missed until the infant was older than 5 months. We believe this is the oldest reported case of infantile hypertrophic pyloric stenosis in taiwan.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/5. adult hypertrophic pyloric stenosis.adult hypertrophic pyloric stenosis is an unusual disease of obscure etiology which causes varying degrees of gastric outlet obstruction. diagnosis by history, physical examination, and roentgenography is difficult but can be readily made with fiberoptic gastroscopy where a characteristic pyloric "cervix sign" is seen. All of the many operations for relief of gastric outlet obstruction have been tried with this lesion, with resection and Billroth I reanastomosis the accepted treatment. Two patients are reported with adult hypertrophic pyloric stenosis who had typical endoscopic findings. One was treated with distal gastrectomy, and the other was adequately treated by endoscopic dilatation alone. It is suggested that endoscopic dilatation is acceptable as primary therapy in suitable cases.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/5. The etiology and management of rumination and psychogenic vomiting: a review.Chronic vomiting, in the absence of discernible physical illness, is a problem sometimes seen in individuals labeled as mentally retarded or mentally ill. This behavior often becomes life-threatening, particularly when it occurs in young children. Over the decades several theoretical analyses have been made of this behavior, and a wide range of treatments have been developed. This paper is a summarization of current and historical literature related to three types of chronic vomiting: (1) rumination in the infant; (2) rumination in the older child and adult; and (3) psychogenic vomiting. Treatment strategies are reviewed in some detail and are evaluated for the practitioner using effectiveness and efficiency as the main evaluative criteria. Several ideas for further research and theoretical analysis are also suggested.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/5. LSD 'flashback' as a cause of diagnostic error.An emaciated, but otherwise physically normal young man presented with an acute psychosis resembling hallucinogenic drug abuse. His behaviour was so strange that the underlying pathology of severe pyloric stenosis was only detected when a chance measurement of urea and electrolytes was made, revealing gross biochemical abnormalities. His abnormal mental state persisted for more than one week and an LSD 'flashback' was postulated as the cause of the prolonged psychosis- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |