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{
    "pk": 479,
    "title": "Immediate Emergency Department Diagnosis of Pyloric Stenosis with Point-of-care Ultrasound",
    "subtitle": null,
    "abstract": "A 15-day-old male who was born at term presented with non-bilious projectile vomiting. He was nontoxic and his abdomen was benign without masses. Point-of-care ultrasound (POCUS) showed hypertrophic pyloric stenosis (HPS). Typical findings include target sign; pyloric muscle thickness greater than three mm; channel length greater than 15-18 mm; and lack of gastric emptying. The patient was admitted; consultative ultrasound (US) was negative, but repeated 48 hours later for persistent vomiting. This second US was interpreted as HPS, which was confirmed surgically. Pyloromyotomy was successful. Few reports describe POCUS by general emergency physicians to diagnose HPS. Here, we emphasize the value in repeat US for patients with persistent symptoms.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9bx5m1b3",
    "frozenauthors": [
        {
            "first_name": "Nicole",
            "middle_name": "",
            "last_name": "Dorinzi",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Justine",
            "middle_name": "",
            "last_name": "Pagenhardt",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Melinda",
            "middle_name": "",
            "last_name": "Sharon",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Kristine",
            "middle_name": "",
            "last_name": "Robinson",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Erin",
            "middle_name": "",
            "last_name": "Setzer",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Nicolas",
            "middle_name": "",
            "last_name": "Denne",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        },
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Minardi",
            "name_suffix": "",
            "institution": "West Virginia University, Department of Emergency Medicine, Morgantown, West Virginia",
            "department": "None"
        }
    ],
    "date_submitted": "2017-10-18T20:38:20+02:00",
    "date_accepted": "2017-10-18T20:38:20+02:00",
    "date_published": "2017-11-03T20:35:14+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/479/galley/243/download/"
        }
    ]
}