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Hps
This document provides an overview of infantile hypertrophic pyloric stenosis (IHPS). IHPS is a condition characterized by hypertrophy of the pyloric muscle which causes failure of the pylorus to relax. It typically presents in infants between 2-5 weeks of age with projectile vomiting after feeding. On examination, an olive-sized mass may be palpated in the epigastric region. Diagnosis is confirmed through imaging studies showing dilation of the stomach and "string sign" on barium studies. Treatment is through pyloromyotomy to divide the thickened pyloric muscle.
Editor's Notes
- #7 NB the patient is not textbook can happen by any unkown reason
- #8 3.Condition due to difficiency of (NO2 SI) which is most common muscle relaxant. 4 oral erythromycin due to diffent condition increase the folds of IHSP so it must prescibe only for child below 2-3 weeks when there is no other alternative
- #9 From the diagram above there is hypertrophoid of circulsr muscle the lead G.O.O ,so whenthat happen cause postprandial projective non billious ,so wheen that happen result loose of gastric fluid and this condition id malor cause of hypochloric hypokalemic metabolic alkalosis
- #12 VGP visible gastric peristalis .occasional jaundice due bilirubin levels may increase and because of fasting or too little food intake.olive mass below the liver ( good after or during vommitin or at the ends of feedin)
- #17 For preterm baby pyloric muscle wall thicknees/pyloric diameter>0.27 ids diagnostic
- #20 We correct alkalosis because will post operative apnea that will cause of postoperative death due to postoperative respiratory complicattion due to vomiting resalt apnea