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NR 507 WEEK 5 DISCUSSION| CHAMBERLAIN COLLEGE OF NURSING

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Week 5: Discussion Part Two

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A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. According to his parents, the vomiting has become more frequent this past week and he is beginning to lose weight. After careful history taking, a thorough physical exam and diagnostic work-up, the patient is diagnosed with pyloric stenosis.

1.    What is the etiology of pyloric stenosis?

2.    Describe in detail the pathophysiological process of pyloric stenosis.

3.    Identify hallmark signs identified from the physical exam and presenting symptoms. What diagnostic tests would help to confirm the diagnosis of pyloric stenosis?

4.    Describe the pathophysiology of complications of pyloric stenosis.

5.    What teaching would you provide this patient/parents regarding pyloric stenosis?

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[Solved] NR 507 WEEK 5 DISCUSSION| CHAMBERLAIN COLLEGE OF NURSING

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In addition to the textbook, utilize at least one peer-reviewed, evidence based resource to develop your post. Search entries or author Filter replies by unread Unread Collapse replies Expand replies Subscribed • Collapse SubdiscussionTiffani Pendleton Tiffani Pendleton Sep 30, 2018Sep 30, 2018 at 5:03pm Manage Discussion Entry Dr. Schwindenhammer and Classmates, Etiology of Pyloric Stenosis According to McCance and Huether (2014), pyloric stenosis is a blockage of the pyloric sphincter due to enlargement of the sphincter muscle. A common issue for infants that affects more males than females. As with this infant, it usually presents with vomiting right after eating as the main symptom. According to McCance and Huether (2014), the exact cause is unknown, but has been attributed to increased gastrin secretion by the mother during the final trimester of pregnancy, administration of prostaglandin E, and even genetic predisposition with family history. Pathophysiological Process of Pyloric Stenosis According to Ndongo, Tolefac, Tambo, Abanda, Ngowe, Fola, Dzekem, Weledji, Sosso and Minkande (2018), the enlargement and overproduction of the smooth muscle cells of the pylorus causes narrowing and encroachment by the pyloric sphincter muscle which makes it difficult for adeq...
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