2 year-old male with no PMHx is brought to the ED for intermittent abdominal pain for the past two days. Mom notes that the child will crouch down into a ball when he has pain, which only lasts for a few minutes at a time. He has decreased solid food intake but no vomiting or diarrhea and is otherwise well. Vitals and physical exam are unremarkable. The ultrasound is shown below…what’s the diagnosis?
24 year old male presents with left knee pain after he reports playing basketball just prior to arrival. He states he landed on his left knee and "jammed it." He has decreased range of motion of the left knee and there swelling and tenderness-to-palpation of lateral joint line. What's the diagnosis?
A 42 year-old female presents with HTN, DM, and obesity 4 days of abdominal pain. The pain is worsened by eating and associated with nausea; her vitals are within normal limits and she is afebrile. What's the diagnosis?
Case: 24 year old male with no significant past medical history presents to local urgent care with chief complaint of left knee pain. Patient reports playing basketball just prior to arrival and reports landing on left knee and "jamming it."
Answer: False. Infants present with non-bilious vomiting
Diagnosis: Pyloric Stenosis
Pathology: Pyloric stenosis is hypertrophy and hyperplasia of the pylorus with a multifactorial inheritance in families. The incidence is 5/1000 births in males and 2/1000 births in females. It is therefore more common in males; it is also more common in first-born infants, and in Caucasian infants.