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Pyloric Stenosis - Progressive narrowing of the pyloric canal occurring during infancy
Risk factors: first degree relative affected, strong familial aggregation, multiple gestation, c-section,
preterm infant, firstborn child, formula feeding.
Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in severity and
frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS PALPABLE IN RUQ. Peristaltic waves
visible across abdomen after feeding. Insatiable hunger with weight loss and dehydration.
Pinworm - caused by Enterobius vermicularis.
Signs/Symptoms: asymptomatic, severe perianal/intravaginal itching typically at night, vulvovaginitis
in girls, enuresis.
Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 weeks apart for whole family. OR
albendazole 400mg PO 1 dose and another in 2 weeks for whole family.
H. pylori treatment - 14 days of Quadruple therapy:
PPI, amoxicillin BID, metronidazole BID, and clarithromycin BID (PAMC) OR
PPI, bismuth, metronidazole, and tetracycline for 14 days (PTMB)
Celiac Disease Vitamins - b12, folate, B6, D, iron, folic acid, zinc
HBsAg negative
Anti-HBc negative
Anti-HBs negative - susceptible no infection