1. DR.RANDA ALGHANEM

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

3.  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.

4.  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.

5.  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.

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

7.  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.

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

12.  IVF TO CORRECT ACID & BASE BALANCE, ELECTROLYTE AND ALKALOSIS  OPERATION  START FEEDING WITH IN 24-48 HRS POS- OPERATION.

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

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

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

16. THANK YOU