Hypertrophic Pyloric Stenosis in Pediatrics — Case | Pediatric Emergency | SMLE Q#17454
SMLE Question #17454
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
A 6-week-old boy has 10 days of progressively worsening vomiting after feeds. Emesis is non-bilious and projectile, occurs shortly after feeding, and he wants to feed again. He has fewer wet diapers and poor weight gain. Examination shows dehydration and a small, firm epigastric mass. Abdominal ultrasound is consistent with hypertrophic pyloric stenosis. What is the most appropriate initial management?
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