Doctor insights on:
What Is The Result Of Hypochloremia In Pyloric Stenosis
Hypochloremia is a low level of chloride (cl) in ones blood. A normal level of cl is 97-107 meq/l in the blood. Some auses of hypochloremia are: long periods of diarrhea, vomiting, sweating. It is also seen with the use of laxatives, diuretics, steroids and bicarbonate (sodium bicarbonate). Cl is regulated by the kidneys. If hypochloremia is present one should make sure there is not ...Read more
Bowel obstruction : Then vomiting, dehydration and loss of electrolytes. Gastric contents lost as vomit include acids, leading to a metabolic alkalosis (a 'contraction' alkalosis) with hypokalemia (low potassium), the baby needs to be admitted to a hospital, have intravenous fluids, a surgical consult and surgical repair of the pylorus to relieve the stenosis. It can be performed open or laprascopic. ...Read moreSee 2 more doctor answers
Barium enema: Intussusception is when the small intestine telescopes into the large intestine. It can cause pain, cramping, lethargy, and bloody stools. A barium or air contrast enema administered in a hospital can often reduce it and avoid surgery. This works about 75% of the time. In some instances surgery is needed to reduce the defect and in rare instances a bowel resection may be required. ...Read moreSee 2 more doctor answers
Severe dehydration: If a baby has delayed diagnosis of pyloric stenosis the baby may have profound dehydration and metabolic alkalosis. Thankfully with directed rehydration over hours to days this can be corrected and then the baby can undergo surgery to repair the problem. ...Read moreSee 2 more doctor answers
Cirrhosis: Cirrosis, chronic hepatitis, may cause artifically elevated B12 as the liver store vit B12 and also prodcue the proteins that bind vit B12 in the blood. If the liver is sick, it can not produce the binding proteins and when measured vit B12 appears as it is elevated, as only the un-bound form of vit B12 is measured. ...Read moreSee 1 more doctor answer
Several things: Lots of things can cause low blood pressure. If it is related to surgery, the first thing i would consider would be bleeding (bad to miss and easy to correct). The anesthetic agents themselves can lower blood pressure. If the patietn had a heart attack during surgery the blood pressure could be low. So the anesthesiologist must figure out which problem it is, as the treatment depends on the cause. ...Read moreSee 1 more doctor answer
It varies: Mild stenosis may casue no problems. Severe stenosis causes the pressure to increase in the left atrium, the lungs and eventually the right side of the heart. The left atrium enlarges in response to the higher pressure and the likelihood of atrial arrhythmias increases. Fluid can accumulate in the lungs causing shortness of breath and exercise intolerance. ...Read moreSee 1 more doctor answer
Law of thirds!: One third of patients with hyperuricemia are undersecretors, . One trhird are overproducers of uric acid. And one third are both. Overproduction is primarily genetic and associated with many other risk factors for metabolic syndrome and subsequent atherovascular diseases. Under secretion may be genetic, but there are many more modifiable factors at play. Lead poisoning can cause under excretion. ...Read more
What is the risk of having severe cervical spinal stenosis myelopathy? There is almost no CSF around T3/T4&6 due to narrowing from the disks and steno
It depends: As another doctor pointed out, the "T" designation refers to the thoracic spine and you are indicating you have cervical canal stenosis. Therefore, I wonder if you really mean "C" when you indicate "T". Nonetheless, myelopathy is a clinical syndrome that is frequently due to spinal stenosis at whatever level, but the lack CSF around the spinal cord at a level does NOT necessarily imply myelopathy. ...Read moreSee 3 more doctor answers
Leakage: The aortic valve, when closed, prevents blood from rushing back into the left ventricle from which it has just been expelled by contraction of that chamber during systole. When there is some form of abnormality to the valve there may be leakage back into the left ventricle during diastole. Therefore, the blood is regurgitating back. ...Read more
Mitral valve: The mitral valve has to open properly to let blood flow into the left ventricle from the atrium. If it doesn't, we call this stenosis. It has to close to keep the blood flowing toward the body, if it does not; we call this regurgitation or insufficiency. Either or both problems can exist with the valve if its abnormal. Insufficiency is more common. ...Read moreSee 1 more doctor answer
Projectile vomit: 1-2 month old who starts to vomit after meals. It progresses. Vomit after eating gets worse and more forceful. Sometimes more common in first born males. Ultrasound is diagnostic. Surgery only after the fluid balance is restored. Hope this helps. Laparoscopic surgery is common for this operation. ...Read moreSee 9 more doctor answers
Homework?: There aren't 'the five causes' -- if your teacher asks for these, try to find the textbook that he/she is using. Most important are orthostatic proteinuria (most common), leaky GBM (diabetes, amyloidoisis, membranous GN & its kindred, minimal change DZ / FSGS / any chronic kidney disease with hyperperfusion); most urinary tract infections, consider tumor. ...Read more
What term describes the closing off of a coronary artery that results in tissue death of the affected myocardium?
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