08-10-2006, 07:26 AM
A one-month-old child is brought to the office due to persistent vomiting for the last six days. His mother complains of increasing episodes of projectile vomiting. These episodes occur every time she attempts to feed him, and have persisted despite changing formulas. On physical examination, peristaltic waves are seen over the upper abdomen, and an olive-sized mass is palpated. Laboratory studies reveal a potassium level of 3.0mEq/mL. What is the most appropriate management for this patient?
A) Immediate surgery
B) Medical treatment with metoclopramide
C) Surgery before school age
D) Intravenous hydration and potassium replacement
E) Avoid milk products
A) Immediate surgery
B) Medical treatment with metoclopramide
C) Surgery before school age
D) Intravenous hydration and potassium replacement
E) Avoid milk products