Peds-Gastrointestinal - Pylorus (Normal)
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Caption
4-week-old with vomiting, projectile according to parents. Infant tolerating formula feed well in ED. On exam well-appearing infant with soft abdomen and no masses to palpation. POCUS reveals a normal appearing pylorus. Thickness of muscle < 3mm and length < 14mm. The patient was fed just before exam thus fluid can be seen swirling in the stomach. This can aid in visualization of the pylorus. Sometimes fluid can be seen passing through the pylorus. Dr. Sathya Subramaniam, Pediatric EM Fellow - Kings County/SUNY Downstate