DR.RANDA ALGHANEM

 DEFINITION  INCIDENCE  ETIOLOGY  CLINICAL PRESENTATION  DIAGNOSIS  MANEGEMENT

 HYPERTROPHIC PYLORIC STENOSIS ( HPS) IS THE MOST COMMON COUSE OF INTESTINAL OBSTRUCTION SECONDARY TO HYPERPLASIA OF MASCULAR LAYERS OF PYLORUS COUSING FUNCTIONAL OUT-LET OBSTRUCTION.

 LIVE BIRTH  MORE COMMON IN MALE ( 4: 1)  1 ST BABY IN THE FAMILY  INCREASE RISK IN PATIENT WHO EXPOSED TO ERYTHROMYCIN IN THE 1 ST 2 WEEKS OF LIFE FROM MOTHER VIA BREAST FEEDING OR IN LATE PREGNANCY.  MORE COMMON IN BABY WITH BLOOD GROUP B & O.  RARELY CAN OCCURAS A.D.

 UNKNOWN.  FACTORS ARE:  A.D IN RARE CASE  MATERNAL STRESS IN 3ed TRIMESTER.  ABNORMAL MUSCLE INNERVATION.  PROSTAGLANDIN E WHICH IS GIVEN TO KEEP PATENT DUCTUS ARTERIOSUS OPEN.

 ASSOCIATED WITH :  TRISOMY 18  TURNER  CORNELIA DE LARIGE SYNDROME

 NONBILIOUS VOMITING, PROGRESSIVE PROJECTILE AFTER FEEDING AND FOLLOW EACH FEEDING.  FROM 1 ST TO 5 TH WEEK OF LIFE.  5% OF PATIENT DEVELOP JAUNDICE  DEHYDRATION IN SOME PATIENTS.

 Cbc  Blood gases(hypochloremic metabolic alkalosis  Urea &electrolyte  Xray & barium swollow  Ultra sound

 IVF TO CORRECT ACID & BASE BALANCE, ELECTROLYTE AND ALKALOSIS  OPERATION  START FEEDING WITH IN HRS POS- OPERATION.

 IS INVOLANTARY FORCEFUL EXPULSSION OF STOMACH CONTENT THROUGH MOUTH AND SOME TIMES NOSE

 DIGESTIVE TRACT:  GER  PYLORIC STENOSIS  GE  GASTRITIS  BOWEL OBSTRUCTION  OVER FEEDING  ACUTE ABDOMIN (PERITONITIS, PANCREATITIS, HEPATITIS AND FOOD POISNING.

 OTHER CAUSES OF VOMITING LIKE:  ENDOCRINE PROBLEMS  NEUROLOGICAL PROBLEMS  DRUGS SIDE EFFECT  OTHER INFECTIONS(UTI)

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