What manifestation should a nurse expect in an infant with hypertrophic pyloric stenosis?

In an infant with hypertrophic pyloric stenosis, the presence of a palpable olive-shaped mass is a hallmark manifestation. This condition occurs when the pylorus, the opening from the stomach to the small intestine, becomes abnormally thickened, leading to gastric outlet obstruction. The thickened muscle can often be felt as a distinctive mass in the epigastric region, resembling an olive in shape and size, especially when the stomach is empty.

The identification of this olive-shaped mass is crucial for diagnosis, as it allows healthcare providers to differentiate hypertrophic pyloric stenosis from other gastrointestinal issues that infants can present with. The mass is typically palpable during a physical examination and is often accompanied by projectile vomiting due to the obstruction created by the enlarged pylorus, although the olive-shaped mass itself is a key characteristic feature.

In contrast, while issues such as frequent diarrhea, fever, dehydration, and blood in vomit can occur in various gastrointestinal or systemic conditions, they are not specific manifestations of hypertrophic pyloric stenosis. Therefore, recognizing the olive-shaped mass is essential in the clinical evaluation of infants suspected to suffer from this condition.