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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) 1ST BABY IN THE FAMILY INCREASE RISK IN PATIENT WHO
EXPOSED TO ERYTHROMYCIN IN THE 1ST 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 1ST TO 5TH 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 24-48 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)
THANK YOU