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4 Cards in this Set
- Front
- Back
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defn
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it is the hypertrophy of musculature of pyloric antrum, especially the circular muscle fibres, causing primary failure of pylorus to relax
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CF
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- vomiting (forcible projectile nonbilious)
-VGP -palpable mass - constipation and dehydration -electrolyte imbalance |
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diagnosis
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-clinical examination
- USG : Doughnut sign pyloric muscle 4mm or more in thickness length of pyloric canal >1.8cm -barium meal : obstruction |
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treatment
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-correction of dehydration and electrolytes
- RAMSTEDT'S operation PYLOROMYOTOMY laparatomy-- hypertrophies muscle cut along whole length till mucosa bulges out mucosa not to be opened if opened- to be sutured with vicryl |
