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)

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