Obstructive Disorders

Question 1

What is the pathophysiology of Hyperthropic Pyloric stenosis?

Answer 1

Thickining of the pylorus muscle
Elongation and narrowing of pyloric channel
Partial obstruction of lumen
Edema and inflammation lead to complete obstruction

Question 2

What are the SS of Hyperthropic Pyloric Stenosis?

Answer 2

projectile vomiting*30 to 69 mins after feeding
Olive like mass
Dehydration
Metabolic alkalosis
Growth failure

Question 3

How to diagnose HPS

Answer 3

Untrasound

Question 4

What is Intussuception?

Answer 4

Segment of bowel telescopes into another segment that can cause INFLAMMATION AND ISCHEMIA.
It is PAINFUL😔 😟 🙁 😥 😫

Question 5

What is the Pathophysiology of Intussusception?

Answer 5

Segment of bowel telescopes
Bowel mesentery is compressed
Lymphatic and venous obstruction
Edema increases
Pressure in the area increases
Pressure increase, blood flow ceases
ISCHEMIA
Pouring mucous into the instestines

Question 6

What are the SS of Intussusceptio?

Answer 6

** Red currant jelly like stool **
Acute sever intermittent abd pain
Tender distended, and
Palpable mass in RUQ
Empty RLQ
Vomiting
Lethargy